Chao, Jackie Huei-Huan
Chao, Jackie Huei-Huan is an individual health care provider with primary practice located at 1125 Tremont St , Roxbury Crossing MA 02120-2178. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chao, Jackie Huei-Huan can be contacted via phone (617) 989-3057.Contact Information
Primary practice address
1125 Tremont St
Roxbury Crossing MA 02120-2178
Phone: (617) 989-3057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4556 | Massachusetts |
Profile Details
| NPI number | 1588736367 |
|---|---|
| LBN Legal business name | Chao, Jackie Huei-Huan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 3rd, 2022 - about 4 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 | 1588736367 | NPPES |
| Washington | MEDICAID | 2025351 |
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