1669812251 NPI number — DR. ZHONGCHUAN WILL CHEN MD

Table of content: DR. ZHONGCHUAN WILL CHEN MD (NPI 1669812251)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669812251 NPI number — DR. ZHONGCHUAN WILL CHEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHEN
Provider First Name:
ZHONGCHUAN
Provider Middle Name:
WILL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669812251
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 25164
Provider Second Line Business Mailing Address:
RPO MISSION PARK
Provider Business Mailing Address City Name:
KELOWNA
Provider Business Mailing Address State Name:
BC
Provider Business Mailing Address Postal Code:
V1W 3Y7
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PO BOX 25164
Provider Second Line Business Practice Location Address:
RPO MISSION PARK
Provider Business Practice Location Address City Name:
KELOWNA
Provider Business Practice Location Address State Name:
BC
Provider Business Practice Location Address Postal Code:
V1W 3Y7
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
587-507-0359
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0101X , with the licence number:  023970 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZH0000X , with the licence number: 023970 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)