Chan, David

Chan, David is an individual health care provider with primary practice located at 3030 Executive Dr , Venice FL 34292-2613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Chan, David can be contacted via phone (941) 485-1505.

Contact Information

Primary practice address
3030 Executive Dr Venice FL 34292-2613
Phone: (941) 485-1505
Fax: (941) 492-4065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD443548 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME113787 Florida
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD443548 Pennsylvania
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME113787 Florida

Profile Details

NPI number 1114129236
LBN Legal business name Chan, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Jul 16th, 2024 - about 2 months 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 1114129236 NPPES
Pennsylvania MEDICAID 1027535230001

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