Chan, Edwin Kenneth
Chan, Edwin Kenneth is an sole proprietor health care provider with primary practice located at 13640 39Th Ave Suite 6Gb, Flushing NY 11354-5536. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chan, Edwin Kenneth can be contacted via phone (718) 321-8246.Contact Information
Primary practice address
13640 39Th Ave Suite 6Gb
Flushing NY 11354-5536
Phone: (718) 321-8246
Fax: (718) 321-8273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 222486 | New York |
Profile Details
| NPI number | 1982664611 |
|---|---|
| LBN Legal business name | Chan, Edwin Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Feb 18th, 2016 - about 8 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 | 1982664611 | NPPES |
| New York | MEDICAID | 02655645 |
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