Chan, Elizabeth

Chan, Elizabeth is an individual health care provider with primary practice located at 2341 W Lincoln Rd , Kokomo IN 46902-8012. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Chan, Elizabeth can be contacted via phone (844) 424-3668.

Contact Information

Primary practice address
2341 W Lincoln Rd Kokomo IN 46902-8012
Phone: (844) 424-3668
Fax: (317) 575-6909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001339A Indiana

Profile Details

NPI number 1104351352
LBN Legal business name Chan, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2017
Last updated Mar 20th, 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 1104351352 NPPES
Ohio Other 27-1408630 JEWISH HOSPITAL

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