Mchan, Cameron

Mchan, Cameron is an individual health care provider with primary practice located at 1308 8Th St Ste 1 , Rupert ID 83350. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mchan, Cameron can be contacted via phone (208) 436-4322.

Contact Information

Primary practice address
1308 8Th St Ste 1 Rupert ID 83350
Phone: (208) 436-4322
Fax: (208) 436-1312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP830A Idaho

Profile Details

NPI number 1083816334
LBN Legal business name Mchan, Cameron
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Aug 25th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083816334 NPPES
Idaho Other NP830A NP LICENSE NUMBER
Idaho MEDICAID M8073867 NP LICENSE NUMBER
Idaho Other N23998 NP LICENSE NUMBER

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