Chan, Carlyle H

Chan, Carlyle H is an individual health care provider with primary practice located at 1155 N Mayfair Rd Fl 3 , Milwaukee WI 53226-3464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Chan, Carlyle H can be contacted via phone (414) 955-8900.

Contact Information

Primary practice address
1155 N Mayfair Rd Fl 3 Milwaukee WI 53226-3464
Fax: (414) 955-6285
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22994 Wisconsin

Profile Details

NPI number 1528019924
LBN Legal business name Chan, Carlyle H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 19th, 2024 - about last year

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 1528019924 NPPES
Wisconsin MEDICAID 1528019924
Wisconsin Other 002000112G
Wisconsin MEDICAID 30353500

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