Chao, Nicole Tien

Chao, Nicole Tien is an individual health care provider with primary practice located at 350 S Landmark Ave , Bloomington IN 47403-5001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chao, Nicole Tien can be contacted via phone (812) 335-2434.

Contact Information

Primary practice address
350 S Landmark Ave Bloomington IN 47403-5001
Phone: (812) 335-2434
Fax: (812) 335-7604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37379 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01080306A Indiana

Profile Details

NPI number 1750320545
LBN Legal business name Chao, Nicole Tien
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 15th, 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 1750320545 NPPES
Washington MEDICAID 8452278

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