Chae, Jiyoung

Chae, Jiyoung is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , West Lafayette IN 47906-1501. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Chae, Jiyoung can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
253 Sagamore Pkwy W West Lafayette IN 47906-1501
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28193970A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 71005808A Indiana

Profile Details

NPI number 1568845295
LBN Legal business name Chae, Jiyoung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2015
Last updated Sep 6th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568845295 NPPES
Indiana Other 000000964485 ANTHEM PROVIDER PIN NUMBER
Indiana MEDICAID 201323610 ANTHEM PROVIDER PIN NUMBER

Popular Providers