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
Phone: (740) 376-1939
Fax: (740) 374-1693
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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