Jain, Chandru

Jain, Chandru is an sole proprietor health care provider with primary practice located at 1166 River Avenue Ste 102, Lakewood NJ 08701-5035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jain, Chandru can be contacted via phone (732) 364-9565.

Contact Information

Primary practice address
1166 River Avenue Ste 102 Lakewood NJ 08701-5035
Phone: (732) 364-9565
Fax: (732) 364-1908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA05839100 New Jersey

Profile Details

NPI number 1427053024
LBN Legal business name Jain, Chandru
Credentials M.D., P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jul 1st, 2016 - about 10 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 1427053024 NPPES
New Jersey Other 300090996 RAILROAD
New Jersey MEDICAID 5381002 RAILROAD

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