Chan, Samuel
Chan, Samuel is an individual health care provider with primary practice located at 155 Glasson Way , Grass Valley CA 95945-5723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chan, Samuel can be contacted via phone (530) 274-6000.Contact Information
Primary practice address
155 Glasson Way
Grass Valley CA 95945-5723
Phone: (530) 274-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A77916 | California |
Profile Details
| NPI number | 1043286974 |
|---|---|
| LBN Legal business name | Chan, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Oct 11th, 2011 - about 13 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 | 1043286974 | NPPES |
| California | MEDICAID | 00A779160 |
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