Mchan, Dan
Mchan, Dan is an sole proprietor health care provider with primary practice located at 103 E Broadway , Bolivar MO 65613-1621. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mchan, Dan can be contacted via phone (417) 326-7666.Contact Information
Primary practice address
103 E Broadway
Bolivar MO 65613-1621
Phone: (417) 326-7666
Fax: (417) 777-8073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 006087 | Missouri |
Profile Details
| NPI number | 1649367335 |
|---|---|
| LBN Legal business name | Mchan, Dan |
| Credentials | RPHPHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | May 6th, 2008 - about 16 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 | 1649367335 | NPPES |
| Missouri | MEDICAID | 600135305 |
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