Individual
DR. JACOB JOSEPH CHEVLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
651 W MARION RD, MOUNT GILEAD, OH 43338-1027
(419) 949-3180
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.015264
OH
208D00000X
General Practice Physician
34.015264
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
06/27/2025
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