Chan, Richard
Chan, Richard is an sole proprietor health care provider with primary practice located at 139 Centre St Ste 712, New York NY 10013-4557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chan, Richard can be contacted via phone (212) 226-8027.Contact Information
Primary practice address
139 Centre St Ste 712
New York NY 10013-4557
Phone: (212) 226-8027
Fax: (212) 226-5034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 180607 | New York |
Profile Details
| NPI number | 1275506438 |
|---|---|
| LBN Legal business name | Chan, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Sep 30th, 2014 - about 10 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 | 1275506438 | NPPES |
| New York | MEDICAID | 01550825 |
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