Chen, Stan Su-Tah
Chen, Stan Su-Tah is an sole proprietor health care provider with primary practice located at 625 9Th Ave Ste 150 , Longview WA 98632-2467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chen, Stan Su-Tah can be contacted via phone (360) 442-7900.Contact Information
Primary practice address
625 9Th Ave Ste 150
Longview WA 98632-2467
Phone: (360) 442-7900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD25812 | Oregon |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00035720 | Washington |
Profile Details
| NPI number | 1962449090 |
|---|---|
| LBN Legal business name | Chen, Stan Su-Tah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2006 |
| Last updated | Jan 8th, 2020 - about 4 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 | 1962449090 | NPPES |
| Washington | MEDICAID | 2034890 | |
| Washington | MEDICAID | 135106 |
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