Chan, Angeline Y

Chan, Angeline Y is an individual health care provider with primary practice located at 618 Church St Suite 520, Nashville TN 37219-2428. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Chan, Angeline Y can be contacted via phone (615) 750-0323.

Contact Information

Primary practice address
618 Church St Suite 520 Nashville TN 37219-2428
Phone: (615) 750-0323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6039 Wisconsin
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 21406 Massachusetts

Profile Details

NPI number 1265536726
LBN Legal business name Chan, Angeline Y
Credentials D.D.S, CAGS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 5th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265536726 NPPES
Wisconsin MEDICAID 33801500

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