Chan, Katherine Hubert

Chan, Katherine Hubert is an individual health care provider with primary practice located at 300 Longwood Ave Department Of Urology, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Chan, Katherine Hubert can be contacted via phone (617) 355-6326.

Contact Information

Primary practice address
300 Longwood Ave Department Of Urology Boston MA 02115-5724
Phone: (617) 355-6326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 57. 008401 Ohio
Allopathic & Osteopathic Physicians / Urology 208800000X 01072814A Indiana
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 238864 Massachusetts

Profile Details

NPI number 1205041274
LBN Legal business name Chan, Katherine Hubert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2007
Last updated Jan 20th, 2016 - about 10 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 1205041274 NPPES
Indiana Other 000000824262 ANTHEM BCBS PIN
Indiana MEDICAID 201182650 ANTHEM BCBS PIN

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