Provider Demographics
NPI:1871534420
Name:CHEN, CHIA-HUNG JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:CHIA-HUNG
Middle Name:JOSEPH
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:CHIA-HUNG
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:671 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-2124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:671 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-2124
Practice Address - Country:US
Practice Address - Phone:937-383-3277
Practice Address - Fax:937-283-9146
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH35075663C207W00000X
WI42744020207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2269718Medicaid
OH9334361Medicare PIN
OHH51910Medicare UPIN