Pan, Ming-Jer J

Pan, Ming-Jer J is an sole proprietor health care provider with primary practice located at 106 W Thomas St , Rome NY 13440-5129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pan, Ming-Jer J can be contacted via phone (315) 336-7703.

Contact Information

Primary practice address
106 W Thomas St Rome NY 13440-5129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125215 New York

Profile Details

NPI number 1821013186
LBN Legal business name Pan, Ming-Jer J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821013186 NPPES
New York MEDICAID 00559531

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