Chan, Siu Fung
Chan, Siu Fung is an sole proprietor health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Chan, Siu Fung can be contacted via phone (513) 558-4194.Contact Information
Primary practice address
234 Goodman St
Cincinnati OH 45219-2364
Phone: (513) 558-4194
Fax: (513) 558-0995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35.120331 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 35.120331 | Ohio |
Profile Details
| NPI number | 1750523551 |
|---|---|
| LBN Legal business name | Chan, Siu Fung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2009 |
| Last updated | Jun 7th, 2017 - about 7 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 | 1750523551 | NPPES |
| Indiana | MEDICAID | 201157060 | |
| Indiana | MEDICAID | 7100313840 | |
| Indiana | MEDICAID | 0109159 |
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