Tan, Edison N
Tan, Edison N is an individual health care provider with primary practice located at 1840 N Highland Ave , Clearwater FL 33755-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tan, Edison N can be contacted via phone (727) 442-3001.Contact Information
Primary practice address
1840 N Highland Ave
Clearwater FL 33755-2138
Phone: (727) 442-3001
Fax: (727) 467-9106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME78501 | Florida |
Profile Details
| NPI number | 1962475533 |
|---|---|
| LBN Legal business name | Tan, Edison N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Feb 4th, 2008 - about 16 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 | 1962475533 | NPPES |
| Other | 49390 | BLUE CROSS |
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