Chan, Shirley M
Chan, Shirley M is an sole proprietor health care provider with primary practice located at 1505 Wilson Terrace Suite 350, Glendale CA 91206-4072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Chan, Shirley M can be contacted via phone (818) 243-8431.Contact Information
Primary practice address
1505 Wilson Terrace Suite 350
Glendale CA 91206-4072
Phone: (818) 243-8431
Fax: (818) 247-9239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G58168 | California |
Profile Details
| NPI number | 1609830348 |
|---|---|
| LBN Legal business name | Chan, Shirley M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jun 27th, 2011 - about 14 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 | 1609830348 | NPPES |
| California | MEDICAID | 00G581680 |
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