Provider Demographics
NPI:1679188106
Name:CHIJNER, DAVID I
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:I
Last Name:CHIJNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 AINSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1602
Mailing Address - Country:US
Mailing Address - Phone:614-476-9352
Mailing Address - Fax:
Practice Address - Street 1:268 AINSWORTH AVE
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-1602
Practice Address - Country:US
Practice Address - Phone:614-476-9352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant