Chen, Avis S.

Chen, Avis S. is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Chen, Avis S. can be contacted via phone (904) 390-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 390-3600
Fax: (904) 396-1630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME0056181 Florida
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME0056181 Florida

Profile Details

NPI number 1881605301
LBN Legal business name Chen, Avis S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 9th, 2011 - about 15 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 1881605301 NPPES
Georgia MEDICAID 000446454A
Georgia MEDICAID 061874800

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