Castillo, Chanel Chew
Castillo, Chanel Chew is an sole proprietor health care provider with primary practice located at 30290 Skippers Way Dr , Canyon Lake CA 92587. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Castillo, Chanel Chew can be contacted via phone (909) 762-7048.Contact Information
Primary practice address
30290 Skippers Way Dr
Canyon Lake CA 92587
Phone: (909) 762-7048
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / General Practice | 1223G0001X | 101938 | California |
Profile Details
NPI number | 1316308166 |
---|---|
LBN Legal business name | Castillo, Chanel Chew |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2016 |
Last updated | Jul 6th, 2018 - about 7 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 | 1316308166 | NPPES |
California | Other | 20160200868801 | IEHP |
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