J. Jack Chan is a Obstetrics & Gynecology Physician based in Athens, OH. J. Jack Chan practices in Athens, OH and has the professional credentials of DO. The NPI Number for J. Jack Chan is 1053314245 and holds a License No. 34005890 (Ohio).
The current practice location address for J. Jack Chan is 86 Columbus Rd, Athens, OH and can be reached out via phone at 740-594-2624 and via fax at 740-594-7333. You can also correspond with J. Jack Chan through the mailing address at 86 COLUMBUS RD, ATHENS, OH - 45701-1300 (mailing address contact number: 740-594-2624).
Provider Profile Details
NPI Number
1053314245
Provider Name
J. Jack Chan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
86 Columbus Rd, Athens, OH, 45701-1300
Phone Number
740-594-2624
Fax Number
740-594-7333
Provider Enumeration Date
05/23/2005
Last Update Date
05/19/2009
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0956881 | 05 | OH |
Provider Business Practice Location Address Details
Address
86 Columbus Rd
City
State
Zip
45701-1331
Phone Number
740-594-2624
Fax Number
740-594-7333
Provider Business Mailing Address Details
Address
86 Columbus Rd
City
State
Zip
45701-1300
Phone Number
740-594-2624
Fax Number
740-594-7333
Provider's Primary Taxonomy Details
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
34005890 (Ohio)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.