Individual provider · Type 1 NPI
Jerry Lynn Chastain Jr., MD
Student in an Organized Health Care Education/Training Program · Modesto, CA
NPI number
1073752671
Active
Practice location
401 Paradise Road, Suite E
Modesto, CA 95351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
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About NPI 1073752671
Jerry Lynn Chastain Jr., MD's National Provider Identifier is 1073752671, issued on Feb 5, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Jan 24, 2022.