Chan, Jillian K
Chan, Jillian K is an individual health care provider with primary practice located at 650 Hawkins Ave Ste 7 , Ronkonkoma NY 11779-2366. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Chan, Jillian K can be contacted via phone (631) 737-0055.Contact Information
Primary practice address
650 Hawkins Ave Ste 7
Ronkonkoma NY 11779-2366
Phone: (631) 737-0055
Fax: (631) 737-0076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 292652 | New York |
Profile Details
| NPI number | 1003159740 |
|---|---|
| LBN Legal business name | Chan, Jillian K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2013 |
| Last updated | Oct 6th, 2018 - about 6 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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