Andries, Chan
Andries, Chan is an individual health care provider with primary practice located at 114 Woodland St Surgery Dept, Hartford CT 06105-1208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Andries, Chan can be contacted via phone (860) 714-5237.Contact Information
Primary practice address
114 Woodland St Surgery Dept
Hartford CT 06105-1208
Phone: (860) 714-5237
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 002002 | Connecticut |
Profile Details
| NPI number | 1912196478 |
|---|---|
| LBN Legal business name | Andries, Chan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Dec 18th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912196478 | NPPES |
| Connecticut | MEDICAID | 003020021 |
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