Provider Demographics
NPI:1538103296
Name:MICHAEL S. CHUNE DO INC.
Entity Type:Organization
Organization Name:MICHAEL S. CHUNE DO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHUNE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-291-0386
Mailing Address - Street 1:PO BOX 643297
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-3297
Mailing Address - Country:US
Mailing Address - Phone:800-451-8186
Mailing Address - Fax:937-291-2962
Practice Address - Street 1:7901 SCHATZ POINTE DR
Practice Address - Street 2:STE. B
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3856
Practice Address - Country:US
Practice Address - Phone:937-291-0386
Practice Address - Fax:937-291-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0864364Medicaid
OH1538103296OtherRAILROAD MEDICARE
OH0864364Medicaid
OH1538103296OtherRAILROAD MEDICARE