Chan, Brenda

Chan, Brenda is an individual health care provider with primary practice located at 3401 Soldiers Home Rd. , West Lafayette IN 47906. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Chan, Brenda can be contacted via phone (765) 463-1541.

Contact Information

Primary practice address
3401 Soldiers Home Rd. West Lafayette IN 47906
Fax: (765) 497-0687
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22001474A Indiana

Profile Details

NPI number 1306066709
LBN Legal business name Chan, Brenda
Credentials SPEECH THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jan 17th, 2012 - about 14 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 1306066709 NPPES
Indiana Other 000000243264 ANTHEM PIN #

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