Vanichkachorn, Jed S

Vanichkachorn, Jed S is an individual health care provider with primary practice located at 1501 Maple Ave Nw Mob Suite 200, Richmond VA 23226-2553. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Vanichkachorn, Jed S can be contacted via phone (804) 285-2300.

Contact Information

Primary practice address
1501 Maple Ave Nw Mob Suite 200 Richmond VA 23226-2553
Phone: (804) 285-2300
Fax: (804) 285-8420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101221394 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101221394 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 0101221394 Virginia

Profile Details

NPI number 1740231463
LBN Legal business name Vanichkachorn, Jed S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740231463 NPPES
Virginia MEDICAID 006409547
Virginia Other 173230

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