Chan, John O.

Chan, John O. is an individual health care provider with primary practice located at 1086 Franklin St , Johnstown PA 15905-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Chan, John O. can be contacted via phone (814) 534-9794.

Contact Information

Primary practice address
1086 Franklin St Johnstown PA 15905-4305
Phone: (814) 534-9794
Fax: (814) 534-3479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD045331E Pennsylvania

Profile Details

NPI number 1407850993
LBN Legal business name Chan, John O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 17th, 2014 - about 12 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 1407850993 NPPES
Pennsylvania MEDICAID 001590313

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