Chan, Gina

Chan, Gina is an individual health care provider with primary practice located at 2700 Silverside Rd Suite 3, Wilmington DE 19810-3719. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Chan, Gina can be contacted via phone (302) 478-0400.

Contact Information

Primary practice address
2700 Silverside Rd Suite 3 Wilmington DE 19810-3719
Phone: (302) 478-0400
Fax: (302) 478-3827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X C10006882 Delaware

Profile Details

NPI number 1063477792
LBN Legal business name Chan, Gina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Sep 21st, 2010 - about 15 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 1063477792 NPPES
Delaware MEDICAID 1000034821
Delaware Other 1480583
Delaware Other DE11112
Delaware Other 2243460000
Delaware Other P00055687

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