Chitenje, Jack

Chitenje, Jack is an individual health care provider with primary practice located at 13914 Boulder Canyon Dr , Fishers IN 46038-5361. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Chitenje, Jack can be contacted via phone (574) 210-9966.

Contact Information

Primary practice address
13914 Boulder Canyon Dr Fishers IN 46038-5361
Phone: (574) 210-9966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X PENDING Indiana

Profile Details

NPI number 1598327009
LBN Legal business name Chitenje, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2019
Last updated Jul 3rd, 2019 - about 7 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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