Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane Oliver Chung, SFIDC

Individual provider Independent Duty Corpsman · NPI 1336377688

Mr. Shane Oliver Chung, SFIDC is an Independent Duty Corpsman in Norfolk, Virginia. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

302 Warren St Apt 3
Norfolk, VA 23505
Phone: (914) 612-3554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1336377688
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESJune 25, 2009

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