Chan, Tai M

Chan, Tai M is an sole proprietor health care provider with primary practice located at 1 W Lincoln St , Waupun WI 53963-1949. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Chan, Tai M can be contacted via phone (920) 324-5577.

Contact Information

Primary practice address
1 W Lincoln St Waupun WI 53963-1949
Phone: (920) 324-5577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1529 Wisconsin

Profile Details

NPI number 1508908872
LBN Legal business name Chan, Tai M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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