Chasan, Joel Eric
Chasan, Joel Eric is an individual health care provider with primary practice located at 8679 Connecticut Street Suite A, Merrillville IN 46410-6383. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Chasan, Joel Eric can be contacted via phone (219) 769-9022.Contact Information
Primary practice address
8679 Connecticut Street Suite A
Merrillville IN 46410-6383
Phone: (219) 769-9022
Fax: (219) 649-2995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | DR.0058598 | Colorado |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036150656 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01082893A | Indiana |
Profile Details
| NPI number | 1730522830 |
|---|---|
| LBN Legal business name | Chasan, Joel Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2013 |
| Last updated | Feb 4th, 2020 - about 4 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 | 1730522830 | NPPES |
| Indiana | MEDICAID | 300031137 | |
| Indiana | MEDICAID | 036150656 |
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