Chan, Marilyn Marie

Chan, Marilyn Marie is an individual health care provider with primary practice located at 8925 South 2700 West , West Jordan UT 84044. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Chan, Marilyn Marie can be contacted via phone (801) 566-6200.

Contact Information

Primary practice address
8925 South 2700 West West Jordan UT 84044
Phone: (801) 566-6200
Fax: (801) 566-7993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 87-199449-4405 Utah

Profile Details

NPI number 1124175161
LBN Legal business name Chan, Marilyn Marie
Credentials EDD MSN MED APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
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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