Chen, Ellen H
Chen, Ellen H is an individual health care provider with primary practice located at 1775 Thompson Rd , Coos Bay OR 97420-2198. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Chen, Ellen H can be contacted via phone (541) 269-8111.Contact Information
Primary practice address
1775 Thompson Rd
Coos Bay OR 97420-2198
Phone: (541) 269-8111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MC-0231 | Idaho |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MC-0231 | Idaho |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD00047746 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MED-PHYS-LIC-45806 | Montana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD186722 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD00047746 | Washington |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01077302A | Indiana |
Profile Details
| NPI number | 1083654313 |
|---|---|
| LBN Legal business name | Chen, Ellen H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Mar 24th, 2021 - about 5 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 | 1083654313 | NPPES |
| Indiana | Other | 000001041073 | ANTHEM PROVIDER NUMBER |
| Indiana | MEDICAID | 201379160 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 1015CH | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 8951017 | ANTHEM PROVIDER NUMBER |
| Indiana | Other | 0248026 | ANTHEM PROVIDER NUMBER |
| Indiana | MEDICAID | 8478695 | ANTHEM PROVIDER NUMBER |
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