Chan, Carol S.

Chan, Carol S. is an individual health care provider with primary practice located at 1150 Veterans Blvd , Redwood City CA 94063-2037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Chan, Carol S. can be contacted via phone (650) 299-2000.

Contact Information

Primary practice address
1150 Veterans Blvd Redwood City CA 94063-2037
Phone: (650) 299-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G61949 California

Profile Details

NPI number 1669550208
LBN Legal business name Chan, Carol S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1669550208 NPPES
California MEDICAID 00G619490

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