Chan, Michael David

Chan, Michael David is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Chan, Michael David can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address

Medical Center Blvd Winston Salem NC 27157-0001

Phone: (336) 716-2255

Fax: (336) 713-6565

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Radiation Oncology	2085R0001X	2008-00435	North Carolina

Profile Details

NPI number	1225151152
LBN Legal business name	Chan, Michael David
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Apr 7th, 2007
Last updated	Nov 15th, 2010 - about 15 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1225151152	NPPES
North Carolina	MEDICAID	5910511

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