Search › Indiana › 363LG0600X
Jack Chitenje
NPI 1598327009 · on the registry since 2019
Practice
- Address
- 13914 Boulder Canyon Dr
Fishers, IN 46038 - Phone
- (574) 210-9966
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana