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Contact Information

TAI CHI KWOK, MD
1761 BEALL AVE
SUITE 3C
WOOSTER, OH44691-2342
 Phone: 330-345-5374
 Fax: 330-345-5814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TAI CHI KWOK · (Male)

NPI Number 1407964315
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 12/31/2014 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35-074032
  • OH License # 35074032
  • OH Medicaid 2177059
Hospital affiliation(s)
  • WOOSTER COMMUNITY HOSPITAL - (Acute Care)
    1761 BEALL AVENUE
    WOOSTER, OH 44691
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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