Charlie C Pan in Green Bay - Radiation Oncology

Charlie C Pan - NPI 1407948805

Charlie C Pan is a Radiation Oncology in Green Bay, Wisconsin. Charlie C Pan practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Charlie C Pan is 1407948805. The last update date is 2019-12-16.

Charlie C Pan's current location address is Po Box 22487, Green Bay, Wisconsin. You can contact this provider via phone number 9204457222 and fax number 9204457289. The mailing address for Charlie C Pan is Po Box 22487, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Charlie C Pan
Address Po Box 22487, Green Bay, Wisconsin
Phone Number 9204457222
Fax Number 9204457289
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1407948805
Provider Enumeration Date 2006-09-29
Last Updated Date 2019-12-16

Provider Mailing Address Detail

Address Po Box 22487
City Green Bay
State Wisconsin (WI)
Post Code 543052487
Phone Number 9204457222
Fax Number 9204457289

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No 4301074664
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4660707 MI --

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FAQs about Charlie C Pan

What is the unique identifier code issued to Charlie C Pan by the Centers for Medicare & Medicaid Services (CMS)?

The Charlie C Pan has been assigned the NPI (National Provider Identifier) 1407948805. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Charlie C Pan located?

The Charlie C Pan is located at Po Box 22487, Green Bay, WI 543052487.

What is Charlie C Pan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Charlie C Pan is Radiation Oncology, and the taxonomy code that categorizes this field of expertise is 2085R0001X.

On what date was the 1407948805 assigned to Charlie C Pan?

The Charlie C Pan was issued its 1407948805 on 2006-09-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Charlie C Pan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Charlie C Pan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-16.

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