Individual provider · Type 1 NPI

Douglas Chan

Student in an Organized Health Care Education/Training Program · Usaf Academy, CO

NPI number 1114868890 Active

Practice location

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Mailing address

3 Robin Rd
Holmdel, NJ 07733-1918

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XDEN.00206735 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114868890

Douglas Chan's National Provider Identifier is 1114868890, issued on Apr 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Usaf Academy, CO. The record was last updated on Jul 28, 2026.