Chan, Kwok On
Chan, Kwok On is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chan, Kwok On can be contacted via phone (860) 646-1222.Contact Information
Primary practice address
71 Haynes St
Manchester CT 06040-4131
Phone: (860) 646-1222
Fax: (860) 647-1912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 031901 | Connecticut |
Profile Details
| NPI number | 1528033545 |
|---|---|
| LBN Legal business name | Chan, Kwok On |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Mar 19th, 2008 - about 16 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 | 1528033545 | NPPES |
| Connecticut | MEDICAID | 001319012 |
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