Individual
J. JACK CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
86 COLUMBUS RD, STE 203, ATHENS, OH 45701-1331
(740) 594-2624
(740) 594-7333
Mailing address
86 COLUMBUS RD, SUITE 203, ATHENS, OH 45701-1300
(740) 594-2624
(740) 594-7333
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34005890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0956881
—
OH
Enumeration date
05/23/2005
Last updated
05/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us