Chan, Jason J

Chan, Jason J is an individual health care provider with primary practice located at 2720 Plaza Dr Ste 2200 , Wausau WI 54401-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chan, Jason J can be contacted via phone (715) 847-2311.

Contact Information

Primary practice address
2720 Plaza Dr Ste 2200 Wausau WI 54401-4158
Phone: (715) 847-2311
Fax: (715) 847-2312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008-00899 North Carolina

Profile Details

NPI number 1376500439
LBN Legal business name Chan, Jason J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376500439 NPPES
North Carolina MEDICAID 5909684

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