Chan, Alfred H

Chan, Alfred H is an individual health care provider with primary practice located at 6323 111Th St Sw , Lakewood WA 98499-1303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Chan, Alfred H can be contacted via phone (253) 445-6613.

Contact Information

Primary practice address
6323 111Th St Sw Lakewood WA 98499-1303
Phone: (253) 445-6613
Fax: (253) 582-9172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD00019718 Washington

Profile Details

NPI number 1265461768
LBN Legal business name Chan, Alfred H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265461768 NPPES
Washington Other CH5285 REGENCE ID NUMBER
Washington MEDICAID 1105063 REGENCE ID NUMBER
Washington Other 91836 REGENCE ID NUMBER

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