KYUNG AI MIREILLE CHAE M.D., NPI 1932101060
Dermatology in MANITOWOC, WI
Last Updated on : Feb 15,2021
About KYUNG AI MIREILLE CHAE (NPI 1932101060)
KYUNG AI MIREILLE CHAE is a Dermatology provider in MANITOWOC, United States. Her medical specialization is Dermatology .
1932101060 is NPI number of KYUNG AI MIREILLE CHAE.
KYUNG AI MIREILLE CHAE's primary taxonomy code based on NPI Lookup is 207N00000X with license number 67321-20. This taxonomy code refers to Dermatology.
KYUNG AI MIREILLE CHAE has more than 17 years of experience.
KYUNG AI MIREILLE CHAE current practice location address is 801 YORK ST, MANITOWOC, WI. KYUNG AI MIREILLE CHAE can be reached out via phone at 920-683-5278 and via fax at 920-686-9674 .
You can also correspond with KYUNG AI MIREILLE CHAE through mail at mailing address 801 YORK ST, MANITOWOC, WI, United States. Mailing address contact number is 920-663-9008.
The enumeration date of KYUNG AI MIREILLE CHAE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 2 years ago.1932101060 NPI Information
Basic NPI information of KYUNG AI MIREILLE CHAE (NPI 1932101060) is provided below.
| Name | KYUNG AI MIREILLE CHAE |
|---|---|
| National Provider Id (NPI) | 1932101060 |
| Entity Type | Individual |
| Gender | F |
| Credential | M.D. |
| Practice Address | 801 YORK ST,
MANITOWOC, WI, United States |
| Practice Telephone | 920-683-5278 |
| Practice Fax Number | 920-686-9674 |
| Mailing Address | 801 YORK ST ,
MANITOWOC, WI, United States |
| Mailing Telephone | 920-663-9008 |
| Mailing Fax Number | 920-684-1439 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 15-Feb-2021 |
KYUNG AI MIREILLE CHAE (NPI 1932101060) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 67321-20 | WI |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
KYUNG AI MIREILLE CHAE (NPI 1932101060) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207ND0900X | Dermatology, Dermatopathology | 67321-20 | WI |
| N | 207NP0225X | Dermatology, Pediatric Dermatology | 67321-20 | WI |
| N | 207ZD0900X | Pathology, Dermatopathology | 67321-20 | WI |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 306311900 | MEDICAID (05) | MN |
KYUNG AI MIREILLE CHAE (NPI 1932101060) Office Location
Office location of KYUNG AI MIREILLE CHAE is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1265190391 | A PEACE OF SERENITY HOME HEALTH | Home Health Aide | 333 WEST BROWN DEER UNIT G,
MANITOWOC, WI, United States |
06-Dec-2021 |
| 1962453795 | CRAIG LEON ABBOTT | Dermatology | 3500 S WESTERN AVE,
OKLAHOMA CITY, OK, United States |
15-May-2006 |
| 1467894873 | DANIEL WESLEY ABBOTT | Pathology, Anatomic Pathology & Clinical Pathology | 2300 WESTERN AVE,
MANITOWOC, WI, United States |
26-Jul-2013 |
| 1821191271 | WILLIAM HARRY ABILDGAARD | Dermatology | 801 YORK ST,
MANITOWOC, WI, United States |
07-Sep-2006 |
| 1144797739 | ABLE RESIDENTIAL & COMMUNITY OPTIONS, LLC | 909 S 29TH ST,
MANITOWOC, WI, United States |
01-Nov-2018 | |
| 1598993297 | AMBER M ABRAHAM | Physician Assistant | 2617 DEVELOPMENT DR,
GREEN BAY, WI, United States |
01-Jul-2009 |
| 1518293448 | SARAH E. ABRAHAM | Physician Assistant, Medical | 801 YORK ST,
MANITOWOC, WI, United States |
28-Oct-2009 |
| 1073865697 | MADELINE ROSE ABRAMS | Physician Assistant | 2051 PLAINFIELD RD,
CREST HILL, IL, United States |
05-Oct-2012 |
| 1205158904 | ABUNDANT LIFE HEARING HEALTH & MORE, INC. | Hearing Instrument Specialist | 2525 WASHINGTON ST,
MANITOWOC, WI, United States |
22-Feb-2010 |
| 1215961420 | ADVANCED FAMILY CHIROPRACTIC CLINICS INC | Chiropractor | 1632 N 18TH ST,
MANITOWOC, WI, United States |
11-Jul-2006 |
| 1750573150 | ADVANCED ORTHOPAEDIC PHYSICAL THERAPY, LLC | Physical Therapist | 1212 MEMORIAL DR,
SUITE 1 MANITOWOC, WI, United States |
10-Aug-2007 |
| 1780115527 | ADVANCED REHABILITATION CENTER | Clinic/Center, Rehabilitation | 1632 N 18TH ST,
SUITE 2 MANITOWOC, WI, United States |
23-Mar-2017 |
| 1962603639 | NNENNA GEBECHI AGIM | Dermatology | 8144 WALNUT HILL LN STE 1300,
DALLAS, TX, United States |
30-May-2007 |
| 1053806083 | HILLARY MARIE AHOLA | Physician Assistant | 3935 N LIGHTNING DR,
APPLETON, WI, United States |
22-Jun-2018 |
| 1699842310 | KIM MICHELLE ALBRIDGE | Dermatology | 109 WARREN ST STE 1,
BEAVER DAM, WI, United States |
29-Nov-2006 |
| 1487273256 | BRITTANY ALCE | Physician Assistant | 6559 N WICKHAM RD STE C-105,
MELBOURNE, FL, United States |
13-Apr-2020 |
| 1770748303 | ERIK ALEXANDER | Dermatology | 735 N WATER ST STE 830,
MILWAUKEE, WI, United States |
23-Jul-2008 |
| 1790907178 | SARA ANN ALFSON | Occupational Therapy Assistant | 1003 FROST RD,
APT. 7 HOWARDS GROVE, WI, United States |
03-May-2007 |
| 1760997183 | TEHMINA ALI | Physician Assistant | 2333 RING RD,
ELIZABETHTOWN, KY, United States |
07-Dec-2017 |
| 1083140933 | ALIGN CHIROPRACTIC & WELLNESS LLC | Chiropractor | 6920 MARKEN RD,
VALDERS, WI, United States |
11-May-2017 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1932101060?1932101060 is the NPI number of KYUNG AI MIREILLE CHAE.
What is the specialty for KYUNG AI MIREILLE CHAE?The Specialty of KYUNG AI MIREILLE CHAE is Dermatology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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