Individual
MR. JIWEI CHEN
Active
Individual
MR. JIWEI CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
0110004912
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790049369
ANTHEM MEDIGAP
VA
01
—
540506332199
TRICARE
VA
01
—
P01642937
RAILROAD MEDICARE
VA
Enumeration date
06/28/2012
Last updated
09/07/2021
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