Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN NORIN CHAN
ActiveETHAN NORIN CHAN is a Student (Health Education/Training) healthcare provider located in NEW LONDON, Connecticut. NPI 1679210694 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · NEW LONDON, CT
Registration Details
- NPI Number
- 1679210694
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2022 (4.2628352929371 yrs)
- Last Updated
- May 20, 2022
- Licenses
-
PTT15131 (MA)PI167939 (MA)PCI.0010039 (CT)
Practice Information
- Address
-
698 BANK STNEW LONDON, CT, 063205040Browse CT providers · Browse ZIP 06320
- Phone
- 8607729334
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in NEW LONDON, CT
| Name | Credential | NPI |
|---|---|---|
| REBECCA LAMERE | — | 1386434231 |
| SERENA PERKINS | — | 1376498030 |
| NICOLE KNOX-VILCHEZ | — | 1265387930 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.