Kwan, Sandra M

Kwan, Sandra M is an individual health care provider with primary practice located at 9040 Reid St # A , Joint Base Lewis Mcchord WA 98431-1100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kwan, Sandra M can be contacted via phone (253) 968-2252.

Contact Information

Primary practice address
9040 Reid St # A Joint Base Lewis Mcchord WA 98431-1100
Phone: (253) 968-2252
Fax: (253) 968-3278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00035389 Washington

Profile Details

NPI number 1013972371
LBN Legal business name Kwan, Sandra M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 7th, 2016 - about 10 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 1013972371 NPPES
Washington MEDICAID 8210858

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