Vanichkachorn, Jed S
Vanichkachorn, Jed S is an individual health care provider with primary practice located at 1501 Maple Ave Nw Mob Suite 200, Richmond VA 23226-2553. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Vanichkachorn, Jed S can be contacted via phone (804) 285-2300.Contact Information
Primary practice address
1501 Maple Ave Nw Mob Suite 200
Richmond VA 23226-2553
Phone: (804) 285-2300
Fax: (804) 285-8420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101221394 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101221394 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 0101221394 | Virginia |
Profile Details
| NPI number | 1740231463 |
|---|---|
| LBN Legal business name | Vanichkachorn, Jed S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Aug 14th, 2019 - about 6 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 | 1740231463 | NPPES |
| Virginia | MEDICAID | 006409547 | |
| Virginia | Other | 173230 |
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