Chao, Jerome Donald

Chao, Jerome Donald is an individual health care provider with primary practice located at 13 Century Hill Dr , Latham NY 12110-2113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Chao, Jerome Donald can be contacted via phone (518) 203-2582.

Contact Information

Primary practice address
13 Century Hill Dr Latham NY 12110-2113
Fax: (518) 203-2583
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 224758-1 New York

Profile Details

NPI number 1467474866
LBN Legal business name Chao, Jerome Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 21st, 2010 - about 14 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 1467474866 NPPES
New York MEDICAID 02429110

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