Tan, Josefina C.

Tan, Josefina C. is an individual health care provider with primary practice located at 106 E Broad St , Savannah GA 31401-2917. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Tan, Josefina C. can be contacted via phone (912) 527-1000.

Contact Information

Primary practice address
106 E Broad St Savannah GA 31401-2917
Phone: (912) 527-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 019193 Georgia

Profile Details

NPI number 1689737397
LBN Legal business name Tan, Josefina C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 4th, 2012 - about 13 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 1689737397 NPPES
Other 10063432 AMERIGROUP
MEDICAID 469298310A AMERIGROUP

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