Chen, Wen Y
Chen, Wen Y is an sole proprietor health care provider with primary practice located at 200 W Main St , East Alton IL 62024-1173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chen, Wen Y can be contacted via phone (618) 259-0440.Contact Information
Primary practice address
200 W Main St
East Alton IL 62024-1173
Phone: (618) 259-0440
Fax: (618) 258-4362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036-079700 | Illinois |
Profile Details
| NPI number | 1255351961 |
|---|---|
| LBN Legal business name | Chen, Wen Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Nov 29th, 2012 - 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 | 1255351961 | NPPES |
| Illinois | Other | 1224820001 | MEDICARE DME PTAN |
| Illinois | Other | 1932378668 | MEDICARE DME PTAN |
| Illinois | MEDICAID | 036079700 | MEDICARE DME PTAN |
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