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Contact Information

JONATHAN J CHAN, MD
248 HAMPSHIRE RD STE 100
THOUSAND OAKS, CA91361-2401
 Phone: 805-370-0040
 Fax: 304-598-4871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN J CHAN · (Male)

NPI Number 1982016929
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2014
Last updated 08/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # C194944
Hospital affiliation(s)
  • BRIDGTON HOSPITAL - (Critical Access)
    10 HOSPITAL DRIVE
    BRIDGTON, ME 04009
  • CENTRAL MAINE MEDICAL CENTER - (Acute Care)
    300 MAIN STREET
    LEWISTON, ME 04240
  • RUMFORD HOSPITAL - (Critical Access)
    420 FRANKLIN STREET
    RUMFORD, ME 04276
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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