Tan, De

Tan, De is an sole proprietor health care provider with primary practice located at 2725 Capitol Ave Dept 300 , Sacramento CA 95816-6006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tan, De can be contacted via phone (916) 262-9370.

Contact Information

Primary practice address
2725 Capitol Ave Dept 300 Sacramento CA 95816-6006
Phone: (916) 262-9370
Fax: (916) 262-9375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A90989 California

Profile Details

NPI number 1851384044
LBN Legal business name Tan, De
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Dec 20th, 2018 - about 7 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 1851384044 NPPES
California MEDICAID 00A909890
California MEDICAID ZZZ80876Z

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