Chan, Connie

Chan, Connie is an individual health care provider with primary practice located at 4368 Lincoln Ave , Oakland CA 94602-2529. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Chan, Connie can be contacted via phone (510) 531-3111.

Contact Information

Primary practice address
4368 Lincoln Ave Oakland CA 94602-2529
Phone: (510) 531-3111
Fax: (510) 531-8083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1497163364
LBN Legal business name Chan, Connie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2014
Last updated Jul 23rd, 2014 - about 11 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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