MEDICARE: EMILY JONES CHAIKIN PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0110001095	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912930181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY JONES CHAIKIN PA

Provider Business Mailing Address
First Line	:	856 J CLYDE MORRIS BLVD
Second Line	:	SUITE A
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-1318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 KINGS WAY STE 2700
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2554
Country	:	US
Telephone Number	:	757-221-0110
Fax Number	:	757-221-0851

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	09/04/2019

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Directions to “ EMILY JONES CHAIKIN PA” Practice Location

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