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Melissa M. Chan

Family Doctor Family Doctor - Addiction Medicine and 1 more

2605 E 3300 S
Slc , Utah 84109

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Addiction Medicine

Languages spoken

  • English

Location

2605 E 3300 S Slc , Utah 84109

First Address

  • Melissa M. Chan
  • 2605 E 3300 S
  • Slc, UT
  • Zip : 84109-2728
  • Fax : (801) 449-0982
  • Phone : (801) 872-8846

Second Address

  • Melissa M. Chan
  • 2605 E 3300 S
  • Slc, UT
  • Zip : 84109
  • Fax : (801) 449-0982
  • Phone : (801) 872-8846

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FAQs


Where did Melissa M. Chan attend graduate school?

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Where did Melissa M. Chan do her residency?

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Where did Melissa M. Chan do her fellowship?

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Is Melissa M. Chan board certified?

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What type of doctor is Melissa M. Chan

Family Doctor

In what state does Melissa M. Chan practice in?

Utah

Where is Melissa M. Chan ’s practice located?

2605 E 3300 S , Slc, Utah, 84109

What is Melissa M. Chan ’s gender?

Female

Is Melissa M. Chan a sole practitioner?

No

Is Melissa M. Chan accepting new patients?

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What languages does Melissa M. Chan speak?

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Does Melissa M. Chan accept insurance?

Yes, Melissa M. Chan accepts insurance

Does Melissa M. Chan offers telemedicine?

Melissa M. Chan has not indicated if she offers telemedicine

What is Melissa M. Chan ’s professional license number?

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What is Melissa M. Chan ’s NPI number?

1902031545

Does Melissa M. Chan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor 10364990-1205 UT
N 207Q00000X Family Doctor 13484 FL
N 207Q00000X Family Doctor A121675 CA
N 207Q00000X Family Doctor ME108391 FL
N 207QA0401X Family Doctor - Addiction Medicine XC3767704 UT

National Provider Identifier

NPI 1902031545
Provider Name Melissa M. Chan
First Address Slc, UT 84109-2728
Second Address Slc, UT 84109
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 27/05/2009
Last Update Date 21/03/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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