Chan, Harry W.

Chan, Harry W. is an sole proprietor health care provider with primary practice located at 1895 Mowry Ave Suite # 117, Fremont CA 94538-1737. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chan, Harry W. can be contacted via phone (510) 797-8770.

Contact Information

Primary practice address
1895 Mowry Ave Suite # 117 Fremont CA 94538-1737
Fax: (510) 797-3926
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6007T California

Profile Details

NPI number 1750331237
LBN Legal business name Chan, Harry W.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750331237 NPPES
California MEDICAID SD0060070

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