Provider Demographics
NPI:1841753613
Name:CHAN, GI MING (ND)
Entity Type:Individual
Prefix:DR
First Name:GI MING
Middle Name:
Last Name:CHAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 TALL TIMBER DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3211
Mailing Address - Country:US
Mailing Address - Phone:646-469-6240
Mailing Address - Fax:
Practice Address - Street 1:252 TALL TIMBER DR
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3211
Practice Address - Country:US
Practice Address - Phone:646-469-6240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath