Chan, Jose Antonio
Chan, Jose Antonio is an sole proprietor health care provider with primary practice located at 2537A Francis Lewis Blvd , Flushing NY 11358-1142. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chan, Jose Antonio can be contacted via phone (718) 281-2273.Contact Information
Primary practice address
2537A Francis Lewis Blvd
Flushing NY 11358-1142
Phone: (718) 281-2273
Fax: (718) 281-2232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV5104 | New York |
Profile Details
| NPI number | 1326046939 |
|---|---|
| LBN Legal business name | Chan, Jose Antonio |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 31st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326046939 | NPPES |
| New York | MEDICAID | 01774565 |
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