Provider Demographics
NPI:1093743668
Name:CHAIN, JEFFREY R (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:R
Last Name:CHAIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2900 LAMB CIR
Mailing Address - Street 2:SUITE L760
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6344
Mailing Address - Country:US
Mailing Address - Phone:540-731-2436
Mailing Address - Fax:540-731-2439
Practice Address - Street 1:2900 LAMB CIR
Practice Address - Street 2:SUITE L760
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6344
Practice Address - Country:US
Practice Address - Phone:540-731-2436
Practice Address - Fax:540-731-2439
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2014-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101243776207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1093743668OtherVA PREMIER
VA1093743668OtherHEALTHKEEPERS
VA1093743668OtherGATEWAY
VA1093743668OtherHUMANA MEDICARE
VA1093743668OtherANTHEM
VA1093743668OtherOPTIMA HEALTH PLAN
VA1093743668OtherUMWA
VA1093743668OtherINTOTAL
VA1093743668OtherUNITED HEALTHCARE
VA1093743668OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VAP00627870OtherRAILROAD MEDICARE
VA1093743668OtherVIRGINIA HEALTH NETWORK
VA1093743668OtherMAJESTACARE
VA3810012156OtherMEDICAID OF WEST VIRGINIA
VA1093743668OtherAETNA
VA1093743668OtherHEALTHKEEPERS PLUS
VA1093743668OtherCIGNA
VA1093743668Medicaid
VA149858904OtherBLACK LUNG
VA149858904OtherOWCP
VA541586601118OtherTRICARE/CHAMPUS
VA1093743668OtherMAJESTACARE