Que, Emerson Tan
Que, Emerson Tan is an individual health care provider with primary practice located at 211 S Chestnut St Suite 1, Clarksburg WV 26301-2832. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Que, Emerson Tan can be contacted via phone (304) 624-5212.Contact Information
Primary practice address
211 S Chestnut St Suite 1
Clarksburg WV 26301-2832
Phone: (304) 624-5212
Fax: (304) 623-5812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | D0067034 | Maryland |
| Other Service Providers / Legal Medicine | 173000000X | C1-0008687 | Delaware |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 26518 | West Virginia |
Profile Details
| NPI number | 1104862838 |
|---|---|
| LBN Legal business name | Que, Emerson Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Apr 5th, 2022 - 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 | 1104862838 | NPPES |
| Maryland | MEDICAID | 414437600 |
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