MEDICARE: JASON CHECHEN CHU M.D.

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	207Q00000X	Family Medicine Physician	44810	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	105243	OTHER	KS	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649216136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON CHECHEN CHU M.D.

Provider Business Mailing Address
First Line	:	250 MAX DR
Second Line	:	SUITE 102
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-9517
Country	:	US
Telephone Number	:	303-649-3350
Fax Number	:	303-649-3351

Provider Business Practice Location Address
First Line	:	250 MAX DR
Second Line	:	SUITE 102
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-9517
Country	:	US
Telephone Number	:	303-649-3350
Fax Number	:	303-649-3351

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	06/12/2014

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