Provider Demographics
NPI:1881842441
Name:CHASEN, JANET WOLFSON (AUD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:WOLFSON
Last Name:CHASEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:HILARY
Other - Last Name:WOLFSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:350 HENRY CLAY BLVD.
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502
Mailing Address - Country:US
Mailing Address - Phone:859-268-4545
Mailing Address - Fax:859-269-1857
Practice Address - Street 1:350 HENRY CLAY BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-1024
Practice Address - Country:US
Practice Address - Phone:859-268-4545
Practice Address - Fax:859-269-1857
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0702237600000X
KY0288231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0288OtherKY LICENSE
KY0702OtherHEARING INSTRUMENT SPECIALIST
KY7100243990Medicaid