Fan, John
Fan, John is an individual health care provider with primary practice located at 2401 W Belvedere Ave , Baltimore MD 21215-5216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fan, John can be contacted via phone (410) 601-5209.Contact Information
Primary practice address
2401 W Belvedere Ave
Baltimore MD 21215-5216
Phone: (410) 601-5209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0036501 | Maryland |
Profile Details
| NPI number | 1144226770 |
|---|---|
| LBN Legal business name | Fan, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Nov 3rd, 2009 - about 16 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 | 1144226770 | NPPES |
| Maryland | MEDICAID | 294711100 |
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