Chen, Jack P
Chen, Jack P is an individual health care provider with primary practice located at 5670 Peachtree Dunwoody Rd Ste 880 , Atlanta GA 30342-4789. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Chen, Jack P can be contacted via phone (404) 256-2525.Contact Information
Primary practice address
5670 Peachtree Dunwoody Rd Ste 880
Atlanta GA 30342-4789
Phone: (404) 256-2525
Fax: (404) 256-9589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 040031 | Georgia |
Profile Details
| NPI number | 1821082389 |
|---|---|
| LBN Legal business name | Chen, Jack P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Oct 28th, 2020 - about 5 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 | 1821082389 | NPPES |
| Georgia | MEDICAID | 000659788B |
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