Chen, David Wayne
Chen, David Wayne is an sole proprietor health care provider with primary practice located at 942 South St , Roslindale MA 02131-2314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chen, David Wayne can be contacted via phone (617) 325-0520.Contact Information
Primary practice address
942 South St
Roslindale MA 02131-2314
Phone: (617) 325-0520
Fax: (617) 325-9047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52179 | Massachusetts |
Profile Details
| NPI number | 1154381721 |
|---|---|
| LBN Legal business name | Chen, David Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1154381721 | NPPES |
| Massachusetts | MEDICAID | 6176518 | |
| Massachusetts | Other | 6365 | |
| Massachusetts | Other | 52179 |
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