Chong, Jason Alexander

Chong, Jason Alexander is an individual health care provider with primary practice located at 9000 Coombs Farm Drive Suite 202, Morgantown WV 26508. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Chong, Jason Alexander can be contacted via phone (304) 554-0504.

Contact Information

Primary practice address
9000 Coombs Farm Drive Suite 202 Morgantown WV 26508
Phone: (304) 554-0504
Fax: (304) 554-0505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1024 West Virginia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1024 West Virginia

Profile Details

NPI number 1386923480
LBN Legal business name Chong, Jason Alexander
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386923480 NPPES
West Virginia MEDICAID 3810026905

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