Chan, Elton

Chan, Elton is an sole proprietor health care provider with primary practice located at 757 60Th St Unit 601, Brooklyn NY 11220-4209. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Chan, Elton can be contacted via phone (718) 567-9000.

Contact Information

Primary practice address
757 60Th St Unit 601 Brooklyn NY 11220-4209
Fax: (718) 567-9003
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 051298 New York

Profile Details

NPI number 1245408343
LBN Legal business name Chan, Elton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2008
Last updated Mar 15th, 2016 - about 9 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 1245408343 NPPES
New York MEDICAID 02809956
New York Other 9198888

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