Chan, Jon Michael

Chan, Jon Michael is an individual health care provider with primary practice located at 65 Oakland Pl , Buffalo NY 14222-2041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Chan, Jon Michael can be contacted via phone (614) 366-3687.

Contact Information

Primary practice address
65 Oakland Pl Buffalo NY 14222-2041
Phone: (614) 366-3687
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MT193950 Pennsylvania
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 293812 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35.120793 Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036.144383 Illinois

Profile Details

NPI number 1053577924
LBN Legal business name Chan, Jon Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2008
Last updated Oct 28th, 2021 - about 5 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 1053577924 NPPES
Ohio MEDICAID PENDING
Ohio Other 293812

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