Provider Demographics
NPI:1518191782
Name:CHEN, RICK CHIEN-AN (DPM)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:CHIEN-AN
Last Name:CHEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 E FIRE TOWER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4105
Mailing Address - Country:US
Mailing Address - Phone:252-439-1150
Mailing Address - Fax:252-439-1152
Practice Address - Street 1:1432 E FIRE TOWER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4105
Practice Address - Country:US
Practice Address - Phone:252-439-1150
Practice Address - Fax:252-439-1152
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC581213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery