Provider Demographics
NPI:1972942126
Name:JUNG, CHRISTINE YOUNG (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:YOUNG
Last Name:JUNG
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3630 GUION RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-1616
Mailing Address - Country:US
Mailing Address - Phone:317-957-9050
Mailing Address - Fax:317-957-9952
Practice Address - Street 1:3630 GUION RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-1616
Practice Address - Country:US
Practice Address - Phone:317-957-9050
Practice Address - Fax:317-957-9952
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN11017422A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN11017422AOtherMEDICAL RESIDENCY PERMIT