Pan, Charles Henry
Pan, Charles Henry is an individual health care provider with primary practice located at 27020 Pacific Hwy S #C, Kent WA 98032-6902. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pan, Charles Henry can be contacted via phone (253) 529-9434.Contact Information
Primary practice address
27020 Pacific Hwy S #C
Kent WA 98032-6902
Phone: (253) 529-9434
Fax: (253) 529-1286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00007305 | Washington |
Profile Details
| NPI number | 1902819980 |
|---|---|
| LBN Legal business name | Pan, Charles Henry |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902819980 | NPPES |
| Washington | MEDICAID | 5022967 |
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