Chan, Terence T

Chan, Terence T is an individual health care provider with primary practice located at 3417 Ensign Rd Ne , Olympia WA 98506-5064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chan, Terence T can be contacted via phone (360) 493-4600.

Contact Information

Primary practice address
3417 Ensign Rd Ne Olympia WA 98506-5064
Phone: (360) 493-4600
Fax: (360) 493-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00023653 Washington

Profile Details

NPI number 1871689794
LBN Legal business name Chan, Terence T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jan 30th, 2019 - about 6 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 1871689794 NPPES
Washington Other 0076574 L & I
Washington MEDICAID 1021195 L & I
Washington MEDICAID 1016369 L & I
Washington Other 0386386 L & I
Washington Other 0381078 L & I

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