Que, Leon Tan
Que, Leon Tan is an sole proprietor health care provider with primary practice located at 3445 Penrose Pl Suite 130, Boulder CO 80301-1878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Que, Leon Tan can be contacted via phone (303) 442-2288.Contact Information
Primary practice address
3445 Penrose Pl Suite 130
Boulder CO 80301-1878
Phone: (303) 442-2288
Fax: (303) 444-5551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | DR-49828 | Colorado |
Profile Details
| NPI number | 1801873740 |
|---|---|
| LBN Legal business name | Que, Leon Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1801873740 | NPPES |
| California | Other | A83944 | MEDICAL BOARD |
| California | Other | M67254 | MEDICAL BOARD |
| California | Other | D68063 | MEDICAL BOARD |
| California | Other | DR-49828 | MEDICAL BOARD |
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