Sotheary Chan in Fairfax - Medical

Sotheary Chan - NPI 1750551818

Sotheary Chan is a Medical in Fairfax, South Carolina. Sotheary Chan practices all healthcare services and medical treatments related to Medical. The NPI Number for Sotheary Chan is 1750551818. The last update date is 2008-03-05.

Sotheary Chan's current location address is Po Box 218, Fairfax, South Carolina. You can contact this provider via phone number 8036321176 and fax number 8036322410. The mailing address for Sotheary Chan is Po Box 218, Fairfax, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Sotheary Chan
Address Po Box 218, Fairfax, South Carolina
Phone Number 8036321176
Fax Number 8036322410
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1750551818
Provider Enumeration Date 2008-03-05
Last Updated Date 2008-03-05

Provider Mailing Address Detail

Address Po Box 218
City Fairfax
State South Carolina (SC)
Post Code 298270218
Phone Number 8036321176
Fax Number 8036322410

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1272
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Sotheary Chan

What is the unique 10-digit identifier code issued to Sotheary Chan by the Centers for Medicare & Medicaid Services?

The Sotheary Chan has been assigned the NPI (National Provider Identifier) 1750551818 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Sotheary Chan is located?

The Sotheary Chan is situated at the following address: Po Box 218, Fairfax, SC, 298270218.

What is the area of specialization for Sotheary Chan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Sotheary Chan is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750551818 to Sotheary Chan?

The Centers for Medicare & Medicaid Services originally issued the 1750551818 to Sotheary Chan on 2008-03-05.

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

The information pertaining to Sotheary Chan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-05.

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