Sue, Lola Kan
Sue, Lola Kan is an individual health care provider with primary practice located at 500 Indiana Ave , Winslow AZ 86047-2169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sue, Lola Kan can be contacted via phone (928) 289-4646.Contact Information
Primary practice address
500 Indiana Ave
Winslow AZ 86047-2169
Phone: (928) 289-4646
Fax: (928) 289-6290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23895 | Arizona |
Profile Details
| NPI number | 1437289311 |
|---|---|
| LBN Legal business name | Sue, Lola Kan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Nov 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437289311 | NPPES |
| Arizona | MEDICAID | 413857 |
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