Chan, Timothy

Chan, Timothy is an individual health care provider with primary practice located at 2207 Golf Course Rd Se Ste A , Rio Rancho NM 87124-1954. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Chan, Timothy can be contacted via phone (575) 521-0055.

Contact Information

Primary practice address
2207 Golf Course Rd Se Ste A Rio Rancho NM 87124-1954
Phone: (575) 521-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3400 Florida

Profile Details

NPI number 1790955367
LBN Legal business name Chan, Timothy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2008
Last updated Feb 16th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790955367 NPPES
Florida Other CZ549Z MCR
Florida Other 6364940001 MCR
Florida Other 1790955367 MCR

Popular Providers