Chan, Camille K.

Chan, Camille K. is an individual health care provider with primary practice located at 4803 Ward Rd , Wheat Ridge CO 80033-1902. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Chan, Camille K. can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
4803 Ward Rd Wheat Ridge CO 80033-1902
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0055271 Colorado

Profile Details

NPI number 1184913774
LBN Legal business name Chan, Camille K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2011
Last updated May 4th, 2021 - about 4 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 1184913774 NPPES
Colorado Other 026073 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 44700059 KAISER COMMERCIAL NUMBER

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