Chan, Terence C
Chan, Terence C is an individual health care provider with primary practice located at 2501 Buena Vista Pmg Provider Resource Group, Albuquerque NM 87125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Chan, Terence C can be contacted via phone (505) 923-5327.Contact Information
Primary practice address
2501 Buena Vista Pmg Provider Resource Group
Albuquerque NM 87125
Phone: (505) 923-5327
Fax: (505) 923-5305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD2004-0593 | New Mexico |
Profile Details
| NPI number | 1770611832 |
|---|---|
| LBN Legal business name | Chan, Terence C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Aug 15th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770611832 | NPPES |
| New Mexico | MEDICAID | 59876018 |
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