Larry Chan is a Contractor in Colorado Springs, Colorado. Larry Chan practices all healthcare services and medical treatments related to Contractor. The NPI Number for Larry Chan is 1669596821. The last update date is 2007-07-08.
Larry Chan's current location address is 923 W Colorado Ave, Colorado Springs, Colorado. You can contact this provider via phone number 7194328477 and fax number 7192270303. The mailing address for Larry Chan is 923 W Colorado Ave, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Chan |
|---|---|
| Address | 923 W Colorado Ave, Colorado Springs, Colorado |
| Phone Number | 7194328477 |
| Fax Number | 7192270303 |
| Sole Proprietor | Y |
| Credentials | LMT, CNMT |
NPI Number Detail
| NPI Number | 1669596821 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 923 W Colorado Ave |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809051517 |
| Phone Number | 7194328477 |
| Fax Number | 7192270303 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | 1330 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1330 | CO | CITY OF MANITOU SPRINGS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry Chan by the Centers for Medicare & Medicaid Services?
The Larry Chan has been assigned the NPI (National Provider Identifier) 1669596821 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Larry Chan is geographically located?
The Larry Chan is physically situated at the following location: 923 W Colorado Ave, Colorado Springs, CO, 809051517.
What is the Larry Chan's area of specialization and corresponding taxonomy classification?
The Larry Chan's specialty field is Contractor, and it falls under the taxonomy code 171W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1669596821 to Larry Chan?
The Larry Chan received its 1669596821 assignment from the Centers for Medicare & Medicaid Services on 2007-03-16.
When was the information pertaining to Larry Chan most recently updated or revised?
The details related to Larry Chan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.