Chan, Tammy
Chan, Tammy is an sole proprietor health care provider with primary practice located at 200 Bowman Dr Ste E385 , Voorhees NJ 08043-9638. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Chan, Tammy can be contacted via phone (856) 840-4534.Contact Information
Primary practice address
200 Bowman Dr Ste E385
Voorhees NJ 08043-9638
Phone: (856) 840-4534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26NJ00563800 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 26NJ00563800 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NJ00563800 | New Jersey |
Profile Details
| NPI number | 1780064345 |
|---|---|
| LBN Legal business name | Chan, Tammy |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2015 |
| Last updated | Nov 22nd, 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 | 1780064345 | NPPES |
| New Jersey | MEDICAID | 0478032 |
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