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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912196478 NPPES
Connecticut MEDICAID 003020021

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