Chan, Fanny W

Chan, Fanny W is an individual health care provider with primary practice located at 738 Prater Way , Sparks NV 89431-4466. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chan, Fanny W can be contacted via phone (775) 356-3937.

Contact Information

Primary practice address
738 Prater Way Sparks NV 89431-4466
Phone: (775) 356-3937
Fax: (775) 356-0808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 319 Nevada

Profile Details

NPI number 1518049014
LBN Legal business name Chan, Fanny W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 9th, 2010 - about 14 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 1518049014 NPPES
Nevada Other 1316460001 MC DMERC
Nevada Other 33574 MC DMERC
Nevada Other 410043037 MC DMERC
Nevada MEDICAID 002507626 MC DMERC
Nevada Other 11026 MC DMERC
Nevada Other 15186 MC DMERC

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