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Contact Information

TAJYANT N CHOTECHUANG, DPM
1510 SW NANCY WAY STE 2
BEND, OR97702-3256
 Phone: 541-385-7129
 Fax: 541-385-7138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TAJYANT N CHOTECHUANG · (Male)

NPI # 1396757431
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/13/2006
Last updated 07/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP00339
  • OR Medicaid 181419
  • OR Other 865318005 BLUE CROSS
  • OR Other 20-2456582 TAX ID
Hospital affiliation(s) Not Available
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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