Provider Demographics
NPI:1679695399
Name:CHO, CHIN-SUK JOHN (DC, DACBR, RMSK)
Entity type:Individual
Prefix:
First Name:CHIN-SUK
Middle Name:JOHN
Last Name:CHO
Suffix:
Gender:M
Credentials:DC, DACBR, RMSK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 STATE HWY 121
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:525 W CHESTER PIKE
Practice Address - Street 2:SUITE #103A
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-4500
Practice Address - Country:US
Practice Address - Phone:610-789-3678
Practice Address - Fax:610-789-3679
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX13616111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology