Chen, Ellen H

Chen, Ellen H is an individual health care provider with primary practice located at 1775 Thompson Rd , Coos Bay OR 97420-2198. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Chen, Ellen H can be contacted via phone (541) 269-8111.

Contact Information

Primary practice address
1775 Thompson Rd Coos Bay OR 97420-2198
Phone: (541) 269-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MC-0231 Idaho
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MC-0231 Idaho
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD00047746 Washington
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MED-PHYS-LIC-45806 Montana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD186722 Oregon
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00047746 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01077302A Indiana

Profile Details

NPI number 1083654313
LBN Legal business name Chen, Ellen H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 24th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083654313 NPPES
Indiana Other 000001041073 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201379160 ANTHEM PROVIDER NUMBER
Indiana Other 1015CH ANTHEM PROVIDER NUMBER
Indiana Other 8951017 ANTHEM PROVIDER NUMBER
Indiana Other 0248026 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 8478695 ANTHEM PROVIDER NUMBER

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