Individual
JUSTIN JEREMIAH CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-2273
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201902726
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
201902726
NC
Other
Enumeration date
03/20/2018
Last updated
06/28/2024
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