Chan, Debora

Chan, Debora is an individual health care provider with primary practice located at 140 Parkside Dr , Colorado Springs CO 80910-3129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Chan, Debora can be contacted via phone (719) 471-3471.

Contact Information

Primary practice address
140 Parkside Dr Colorado Springs CO 80910-3129
Phone: (719) 471-3471
Fax: (719) 471-0744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 34163 Colorado

Profile Details

NPI number 1538155924
LBN Legal business name Chan, Debora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 5th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538155924 NPPES
Colorado MEDICAID 01341635

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