JAIME F TAN MD PC NPI 1336307651

NPI Information

NPI: 1336307651
Provider Name: JAIME F TAN MD PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
233 STATE ST
HARBOR BEACH, MI
ZIP 48441
Phone: (989) 479-3111
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JAIME F TAN MD PC is a general practice in Harbor Beach, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JAIME F TAN MD PC NPI is 1336307651. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

233 STATE ST
HARBOR BEACH, MI
ZIP 48441-206
Phone: (989) 479-3111

The provider's authorized official is Jaime F Tan .
The authorized official title is Medical Doctor and has the following contact phone number (989) 479-3111.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 6/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B47390	MEDICARE UPIN	MICHIGAN
2	101754354	MEDICAID	MICHIGAN
3	0320018	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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