Chan, Micah

Chan, Micah is an sole proprietor health care provider with primary practice located at 6601 Lyndale Ave S , Richfield MN 55423-2477. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Chan, Micah can be contacted via phone (612) 243-9357.

Contact Information

Primary practice address
6601 Lyndale Ave S Richfield MN 55423-2477
Phone: (612) 243-9357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X S99 Minnesota

Profile Details

NPI number 1083083323
LBN Legal business name Chan, Micah
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - 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.

Request for update

Popular Providers