Chan, Mark
Chan, Mark is an sole proprietor health care provider with primary practice located at 2121 Mesa Dr , Boulder CO 80304-3621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Chan, Mark can be contacted via phone (872) 231-3162.Contact Information
Primary practice address
2121 Mesa Dr
Boulder CO 80304-3621
Phone: (872) 231-3162
Fax: (702) 977-1496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | DR.0069232 | Colorado |
Profile Details
| NPI number | 1255569638 |
|---|---|
| LBN Legal business name | Chan, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2009 |
| Last updated | Oct 8th, 2025 - about last year |
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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