Jen, Lian

Jen, Lian is an individual health care provider with primary practice located at 3089 Tamiami Trail Suite B, Port Charlotte FL 33952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Jen, Lian can be contacted via phone (941) 627-9768.

Contact Information

Primary practice address
3089 Tamiami Trail Suite B Port Charlotte FL 33952
Phone: (941) 627-9768
Fax: (941) 627-2785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS7724 Florida

Profile Details

NPI number 1326031048
LBN Legal business name Jen, Lian
Credentials DO PA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2005
Last updated May 9th, 2013 - about 13 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 1326031048 NPPES
Florida MEDICAID 273460500
Florida Other 49234

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