Chung, David Yan
Chung, David Yan is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06032-1956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chung, David Yan can be contacted via phone (860) 679-2000.Contact Information
Primary practice address
263 Farmington Ave
Farmington CT 06032-1956
Phone: (860) 679-2000
Fax: (860) 282-0170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 034454 | Connecticut |
Profile Details
| NPI number | 1629057468 |
|---|---|
| LBN Legal business name | Chung, David Yan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Apr 16th, 2021 - about 3 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 | 1629057468 | NPPES |
| Connecticut | MEDICAID | 001344548 |
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