Chan, Andrew T
Chan, Andrew T is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chan, Andrew T can be contacted via phone (617) 726-3212.Contact Information
Primary practice address
55 Fruit St
Boston MA 02114-2621
Phone: (617) 726-3212
Fax: (617) 724-6832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 210410 | Massachusetts |
Profile Details
| NPI number | 1982600144 |
|---|---|
| LBN Legal business name | Chan, Andrew T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 4th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982600144 | NPPES |
| New Hampshire | Other | H40331 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 30205076 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 210410 | ANTHEM BLUE CROSS |
| New Hampshire | Other | AA13929 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 0024168 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 6831017 | ANTHEM BLUE CROSS |
| New Hampshire | Other | J23432 | ANTHEM BLUE CROSS |
| New Hampshire | MEDICAID | 0134031 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 6584416 | ANTHEM BLUE CROSS |
| New Hampshire | Other | 994677 | ANTHEM BLUE CROSS |
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