National Provider Identifier Database

JACK CHEN, MD – NPI #1104356500
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JACK CHEN, MD
2355 HWY 36 W
STE. 100
ROSEVILLE, MN55113
Phone: 651-292-2000
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JACK CHEN

NPI Number 1104356500
Credentials MD
Entity Individual
Enumeration date 06/18/2017
Last updated 07/31/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 74190
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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