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MR. SHANE OLIVER CHUNG SFIDC
NPI 1336377688
Military Health Care Provider - Independent Duty Corpsman in Norfolk, VA

Active since June 25, 2009
302 WARREN STREET APT 3, NORFOLK, VA 23505(914) 612-3554 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane Oliver Chung Sfidc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE OLIVER CHUNG SFIDC (NPI 1336377688) is an individual independent duty corpsman provider in Norfolk, Virginia and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1336377688
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. SHANE OLIVER CHUNGCredential: SFIDC
Location Address302 WARREN STREET APT 3Norfolk, VA 23505
Mailing Address302 Warren Street Apt 3Norfolk, VA 23505 · (914) 612-3554
Phone(914) 612-3554
Sole ProprietorNo
Enumeration DateJune 25, 2009
✔ NPI 1336377688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
302 WARREN STREET APT 3, Norfolk, VA 23505
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Chung's NPI number?

The NPI number for Shane Chung is 1336377688. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Shane Chung located?

Shane Chung practices at 302 Warren Street Apt 3, Norfolk, VA 23505. The listed phone number is (914) 612-3554.

What is Shane Chung's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Shane Chung was last updated on June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.