Chase, John R.
Chase, John R. is an individual health care provider with primary practice located at 701 Platinum Pt , Lake Mary FL 32746-4871. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Chase, John R. can be contacted via phone (407) 206-4500.Contact Information
Primary practice address
701 Platinum Pt
Lake Mary FL 32746-4871
Phone: (407) 206-4500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME0039277 | Florida |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | ME0039277 | Florida |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME0039277 | Florida |
Profile Details
NPI number | 1770582405 |
---|---|
LBN Legal business name | Chase, John R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2005 |
Last updated | Mar 17th, 2011 - about 13 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 | 1770582405 | NPPES |
Florida | Other | 47804 | BC/BS |
Florida | MEDICAID | 043127300 | BC/BS |
Florida | Other | 200014791 | BC/BS |
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