Healthcare Provider Details

I. General information

NPI: 1396933552
Provider Name (Legal Business Name): AILING CHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 07/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 CHAPEL DR SUIT C
FINDLAY OH
45840
US

IV. Provider business mailing address

1818 CHAPEL DR SUIT C
FINDLAY OH
45840-1335
US

V. Phone/Fax

Practice location:
  • Phone: 419-424-0180
  • Fax: 419-424-0257
Mailing address:
  • Phone: 419-424-0180
  • Fax: 419-424-0257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35095448
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: