Chan, Jacqueline

Chan, Jacqueline is an sole proprietor health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-7232. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Chan, Jacqueline can be contacted via phone (706) 721-8623.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-7232
Phone: (706) 721-8623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 079530 Georgia

Profile Details

NPI number 1356735914
LBN Legal business name Chan, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2015
Last updated Jun 14th, 2023 - about last year

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.

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