Chan, Debora
Chan, Debora is an individual health care provider with primary practice located at 140 Parkside Dr , Colorado Springs CO 80910-3129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Chan, Debora can be contacted via phone (719) 471-3471.Contact Information
Primary practice address
140 Parkside Dr
Colorado Springs CO 80910-3129
Phone: (719) 471-3471
Fax: (719) 471-0744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 34163 | Colorado |
Profile Details
| NPI number | 1538155924 |
|---|---|
| LBN Legal business name | Chan, Debora |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | May 5th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538155924 | NPPES |
| Colorado | MEDICAID | 01341635 |
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