Provider Demographics
NPI:1114514148
Name:JOSEPH CHEN MD REHAB MEDICINE & PAIN COACHING LLC
Entity Type:Organization
Organization Name:JOSEPH CHEN MD REHAB MEDICINE & PAIN COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-661-6236
Mailing Address - Street 1:5550 WILD ROSE LN # 4071
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5350
Mailing Address - Country:US
Mailing Address - Phone:515-661-6236
Mailing Address - Fax:515-661-6101
Practice Address - Street 1:5550 WILD ROSE LN # 4071
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5350
Practice Address - Country:US
Practice Address - Phone:515-661-6236
Practice Address - Fax:515-661-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty