Tan, Valiant D
Tan, Valiant D is an individual health care provider with primary practice located at 725 Volvo Pkwy Suite 200, Chesapeake VA 23320-1602. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tan, Valiant D can be contacted via phone (757) 549-4403.Contact Information
Primary practice address
725 Volvo Pkwy Suite 200
Chesapeake VA 23320-1602
Phone: (757) 549-4403
Fax: (757) 549-4332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101058223 | Virginia |
Profile Details
| NPI number | 1154326718 |
|---|---|
| LBN Legal business name | Tan, Valiant D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Apr 14th, 2011 - about 13 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 | 1154326718 | NPPES |
| Virginia | MEDICAID | 005816157 | |
| Virginia | Other | 52374 | |
| Virginia | Other | 830005079 | |
| Virginia | Other | 830005078 |
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