Chan, Theresa Rose

Chan, Theresa Rose is an sole proprietor health care provider with primary practice located at 15 Engle St , Englewood NJ 07631-2936. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Chan, Theresa Rose can be contacted via phone (800) 200-2345.

Contact Information

Primary practice address
15 Engle St Englewood NJ 07631-2936
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F02220735 New Jersey

Profile Details

NPI number 1932855038
LBN Legal business name Chan, Theresa Rose
Credentials MSN, FNP-C, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2022
Last updated Feb 28th, 2022 - about 4 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.

Request for update

Popular Providers