Chandna, Jalaj

Chandna, Jalaj is an sole proprietor health care provider with primary practice located at 401 Matthew St , Marietta OH 45750-1635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chandna, Jalaj can be contacted via phone (740) 376-1939.

Contact Information

Primary practice address
401 Matthew St Marietta OH 45750-1635
Fax: (740) 374-1693
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20670 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.070350 Ohio

Profile Details

NPI number 1710963947
LBN Legal business name Chandna, Jalaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2005
Last updated Jul 13th, 2021 - about 3 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 1710963947 NPPES
West Virginia MEDICAID 0079521000
West Virginia Other 1040766
West Virginia MEDICAID 0289948
West Virginia Other 001716464

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