Chan, Roger Stephen
Chan, Roger Stephen is an individual health care provider with primary practice located at 7204 Regional St , Dublin CA 94568-2326. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chan, Roger Stephen can be contacted via phone (925) 803-1010.Contact Information
Primary practice address
7204 Regional St
Dublin CA 94568-2326
Phone: (925) 803-1010
Fax: (925) 803-1030
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 9659 | California |
Profile Details
NPI number | 1912969221 |
---|---|
LBN Legal business name | Chan, Roger Stephen |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Sep 4th, 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 | 1912969221 | NPPES |
California | MEDICAID | SD0096590 |
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