Chan, Darlene Michelle

Chan, Darlene Michelle is an individual health care provider with primary practice located at 4744 41St Ave Sw Suite 107 , Seattle WA 98116-4566. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Chan, Darlene Michelle can be contacted via phone (206) 932-8572.

Contact Information

Primary practice address
4744 41St Ave Sw Suite 107 Seattle WA 98116-4566
Phone: (206) 932-8572
Fax: (206) 932-2272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Washington

Profile Details

NPI number 1093882185
LBN Legal business name Chan, Darlene Michelle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1093882185 NPPES
Washington Other DE00005231 LISCENSE
Washington MEDICAID 5081005 LISCENSE

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