Chan, Ryan Nicholas
Chan, Ryan Nicholas is an individual health care provider with primary practice located at 1310 W Stewart Dr Ste 503 , Orange CA 92868-3856. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Chan, Ryan Nicholas can be contacted via phone (714) 997-2224.Contact Information
Primary practice address
1310 W Stewart Dr Ste 503
Orange CA 92868-3856
Phone: (714) 997-2224
Fax: (714) 997-1187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 019033 | New York |
Profile Details
| NPI number | 1093184988 |
|---|---|
| LBN Legal business name | Chan, Ryan Nicholas |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2015 |
| Last updated | Jun 21st, 2024 - about 2 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 | 1093184988 | NPPES |
| Other | 1128223 | NCCPA | |
| Other | 57966 | NCCPA |
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