Tan, Michael

Tan, Michael is an sole proprietor health care provider with primary practice located at 1617 N James St Suite 900, Rome NY 13440-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Tan, Michael can be contacted via phone (315) 337-2903.

Contact Information

Primary practice address
1617 N James St Suite 900 Rome NY 13440-2848
Fax: (315) 337-6253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 1378671 New York

Profile Details

NPI number 1770556045
LBN Legal business name Tan, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770556045 NPPES
New York Other 1040426013829 FIDELLS CARE NY
New York Other 111530400 FIDELLS CARE NY
New York MEDICAID 00582027 FIDELLS CARE NY
New York Other 185034 FIDELLS CARE NY

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