Chan-Pong, Alec G
Chan-Pong, Alec G is an individual health care provider with primary practice located at 8900 Se 165Th Mulberry Ln , The Villages FL 32162-5884. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chan-Pong, Alec G can be contacted via phone (352) 674-5000.Contact Information
Primary practice address
8900 Se 165Th Mulberry Ln
The Villages FL 32162-5884
Phone: (352) 674-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036-078625 | Illinois |
Profile Details
| NPI number | 1427145242 |
|---|---|
| LBN Legal business name | Chan-Pong, Alec G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Aug 3rd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427145242 | NPPES |
| Illinois | MEDICAID | 036078625 |
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