Tan, Gregorio
Tan, Gregorio is an individual health care provider with primary practice located at 1722 Shaffer St Suite 1, Kalamazoo MI 49048-1633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tan, Gregorio can be contacted via phone (269) 381-3963.Contact Information
Primary practice address
1722 Shaffer St Suite 1
Kalamazoo MI 49048-1633
Phone: (269) 381-3963
Fax: (269) 381-2809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301067381 | Michigan |
Profile Details
| NPI number | 1316926751 |
|---|---|
| LBN Legal business name | Tan, Gregorio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1316926751 | NPPES |
| Michigan | MEDICAID | 4387885 |
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