Dr. Jackson Chen, DO
Family Medicine in Manchester, Connecticut
1710480892- Practice location
- 71 Haynes St, Manchester, CT 06040-4131
- Phone
- 860-533-4679
- Fax
- —
- Last updated
- July 3, 2021
Jackson Chen is a Family Medicine based in Manchester, CT. Jackson Chen practices in Manchester, CT and has the professional credentials of DO. The NPI Number for Jackson Chen is 1710480892 and holds a License No. 69038 (CT). The current practice location address for Jackson Chen is 71 Haynes St, Manchester, CT 06040-4131 and can be reached out via phone at 860-533-4679.
Provider Profile Details
- NPI Number
- 1710480892
- Provider Name
- Jackson Chen
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 71 Haynes St, Manchester, CT 06040-4131
- Phone Number
- 860-533-4679
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 14, 2018
- Last Update Date
- July 3, 2021
- Certification Date
- July 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 71 Haynes St
Manchester, CT 06040-4131 - City
- Manchester
- State
- Connecticut
- Zip
- 06040-4131
- Phone Number
- 860-533-4679
Provider Business Mailing Address Details
- Address
- 71 Haynes St
Manchester, CT 06040-4131 - City
- Manchester
- State
- CT
- Zip
- 06040-4131
- Phone Number
- 860-646-1222
License Information
- License Number
- 69038
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Brad Brooks, DOFamily Medicine · NPI 1194170076
- Dr. Martin M KeibelFamily Medicine · NPI 1427067339
Frequently Asked Questions
What is the NPI number of Dr. Jackson Chen, DO?
The NPI number of Dr. Jackson Chen, DO is 1710480892. It was assigned on March 14, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Jackson Chen, DO?
Dr. Jackson Chen, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 69038.
Where does Dr. Jackson Chen, DO practice?
The practice location is 71 Haynes St, Manchester, CT 06040-4131. The office can be reached at 860-533-4679 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710480892 directly on the NPPES registry website.