Individual
DR. PHILIP J CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1314 E 7TH ST STE 101, AUBURN, IN 46706-2533
(260) 925-0403
(260) 925-9545
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01034432A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100104000
—
IN
Enumeration date
07/14/2005
Last updated
11/15/2022
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