Chan, Jennifer P

Chan, Jennifer P is an individual health care provider with primary practice located at 820 5Th Ave , Chambersburg PA 17201-4219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chan, Jennifer P can be contacted via phone (717) 263-4313.

Contact Information

Primary practice address
820 5Th Ave Chambersburg PA 17201-4219
Phone: (717) 263-4313
Fax: (717) 263-0500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD068706L Pennsylvania

Profile Details

NPI number 1073510418
LBN Legal business name Chan, Jennifer P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 31st, 2019 - about 6 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 1073510418 NPPES
Pennsylvania MEDICAID 001789378

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