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NPI Code Detail

MEDICARE: CHI ARTHRITIS & RHEUMATOLOGY ASSOCIATES, PLLC

MEDICARE: CHI ARTHRITIS & RHEUMATOLOGY ASSOCIATES, PLLC
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
1207RR0500XRheumatology PhysicianE-3762AR

Other Identifiers

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

General Provider Information

NPI Number : 1982181608
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHI ARTHRITIS & RHEUMATOLOGY ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : 6 SHACKLEFORD DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-2858
Country : US
Telephone Number : 501-500-5001
Fax Number :
Provider Business Practice Location Address
First Line : 6 SHACKLEFORD DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-2858
Country : US
Telephone Number : 501-500-5001
Fax Number :
Authorized Official
Title or Position : SOLE OWNER
Name : JASEN C. CHI
Credential : MD
Telephone Number : 501-500-5001
Provider Enumeration Date : 07/25/2018
Last Update Date : 02/17/2021

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