Provider Demographics
NPI:1831452788
Name:JUNG, SUNGJUN (DC)
Entity type:Individual
Prefix:DR
First Name:SUNGJUN
Middle Name:
Last Name:JUNG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4629 168TH ST SW STE B
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8640
Mailing Address - Country:US
Mailing Address - Phone:425-741-0600
Mailing Address - Fax:425-741-0601
Practice Address - Street 1:4629 168TH ST SW STE B
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8640
Practice Address - Country:US
Practice Address - Phone:425-741-0600
Practice Address - Fax:425-741-0601
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60282827111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor