Chase, Jerry A

Chase, Jerry A is an individual health care provider with primary practice located at 2555 E 13Th St Suite 100, Loveland CO 80537-5113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chase, Jerry A can be contacted via phone (970) 613-1745.

Contact Information

Primary practice address
2555 E 13Th St Suite 100 Loveland CO 80537-5113
Fax: (970) 461-6160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20415 Colorado

Profile Details

NPI number 1932199411
LBN Legal business name Chase, Jerry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Dec 22nd, 2015 - about 10 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 1932199411 NPPES
Colorado MEDICAID 01204155

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