Chen, Jacqueline

Chen, Jacqueline is an individual health care provider with primary practice located at 141 Thomas Johnson Dr Ste 170 , Frederick MD 21702. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Chen, Jacqueline can be contacted via phone (301) 668-9707.

Contact Information

Primary practice address
141 Thomas Johnson Dr Ste 170 Frederick MD 21702
Phone: (301) 668-9707
Fax: (301) 668-4927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 10458 West Virginia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 01634 Maryland

Profile Details

NPI number 1144602244
LBN Legal business name Chen, Jacqueline
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Feb 19th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144602244 NPPES
Maryland Other 01634 MARYLAND LICENSE

Popular Providers