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General NPI Number Information
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NPI Number | 1184623290
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Entity Type | Individual
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Provider Name | JEFFREY VINCENT CHOU D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 117 S HUBBARDS LN SUITE 102
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City | LOUISVILLE
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State | KY
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Zip | 40207-3937
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Country | US
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Telephone | 502-895-3840
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Fax | 502-897-3642
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Provider Business Mailing Address
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Address Line | PO BOX 43102
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City | LOUISVILLE
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State | KY
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Zip | 40253-0102
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Country | US
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Telephone | 270-433-5806
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Fax | 270-433-2443
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00193
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 00193
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License Number State | KY
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