Chan, Benjamin Q

Chan, Benjamin Q is an individual health care provider with primary practice located at 1700 N Buffalo Dr Ste 100 , Las Vegas NV 89128-2677. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chan, Benjamin Q can be contacted via phone (702) 233-8855.

Contact Information

Primary practice address
1700 N Buffalo Dr Ste 100 Las Vegas NV 89128-2677
Phone: (702) 233-8855
Fax: (702) 952-3548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000157 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16230 Nevada

Profile Details

NPI number 1205920675
LBN Legal business name Chan, Benjamin Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 17th, 2022 - about 3 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 1205920675 NPPES
Nevada Other 16230 STATE LICENSE
Nevada MEDICAID 1205920675 STATE LICENSE
Nevada MEDICAID B5069 STATE LICENSE

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