Chan, Paul Tai-Leung

Chan, Paul Tai-Leung is an individual health care provider with primary practice located at 6245 Sheridan Dr Suite 212, Williamsville NY 14221-4834. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Chan, Paul Tai-Leung can be contacted via phone (716) 204-4500.

Contact Information

Primary practice address
6245 Sheridan Dr Suite 212 Williamsville NY 14221-4834
Fax: (716) 204-4501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X D01194 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1161 Tennessee

Profile Details

NPI number 1144269994
LBN Legal business name Chan, Paul Tai-Leung
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 6th, 2009 - 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

StateTypeNumberIssuer
All States NPI 1144269994 NPPES
Tennessee Other 4222368 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 1510963 BLUE CROSS BLUE SHIELD

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