Que, Emerson Tan

Que, Emerson Tan is an individual health care provider with primary practice located at 211 S Chestnut St Suite 1, Clarksburg WV 26301-2832. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Que, Emerson Tan can be contacted via phone (304) 624-5212.

Contact Information

Primary practice address
211 S Chestnut St Suite 1 Clarksburg WV 26301-2832
Phone: (304) 624-5212
Fax: (304) 623-5812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X D0067034 Maryland
Other Service Providers / Legal Medicine 173000000X C1-0008687 Delaware
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26518 West Virginia

Profile Details

NPI number 1104862838
LBN Legal business name Que, Emerson Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Apr 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104862838 NPPES
Maryland MEDICAID 414437600

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