William G Chan, M.D
Individual provider Active NPI Family Medicine Physician · Van Buren, ME
NPI 1467569871 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467569871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OO6961 (ME)
- Practice address
- 69 Main St
Van Buren, ME 04785-1028 - Phone
- (207) 868-5221
- Fax
- (207) 868-5222
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OO6961 | ME | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OO6961 | ME | Yes |
Addresses
Primary practice location
69 Main St
Van Buren, ME 04785-1028
Mailing address
69 Main St
Van Buren, ME 04785-1028
Phone (207) 868-5221
Other providers in Van Buren, ME
- Steven Albert
- Misty L Belanger
- Bernadette Fortin
- Borderview Holdings Corp
- Brookside Healing & Wellness LLC
- Charles M. Plourde
- Rajendra Chowdhry
- Christine Lapointe
- Christines Foster Home LLC
- Katie Daigle
All providers in Van Buren, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.