Chan, Mark

Chan, Mark is an individual health care provider with primary practice located at 2121 Mesa Dr , Boulder CO 80304-3621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Chan, Mark can be contacted via phone (312) 635-0973.

Contact Information

Primary practice address
2121 Mesa Dr Boulder CO 80304-3621
Phone: (312) 635-0973
Fax: (312) 635-0050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X DR.0069232 Colorado

Profile Details

NPI number 1255569638
LBN Legal business name Chan, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated Jan 4th, 2024 - about last year

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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