Castillo, Chanel Chew

Castillo, Chanel Chew is an sole proprietor health care provider with primary practice located at 30290 Skippers Way Dr , Canyon Lake CA 92587. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Castillo, Chanel Chew can be contacted via phone (909) 762-7048.

Contact Information

Primary practice address
30290 Skippers Way Dr Canyon Lake CA 92587
Phone: (909) 762-7048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 101938 California

Profile Details

NPI number 1316308166
LBN Legal business name Castillo, Chanel Chew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2016
Last updated Jul 6th, 2018 - about 8 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 1316308166 NPPES
California Other 20160200868801 IEHP

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