Chan, Jennifer Miye

Chan, Jennifer Miye is an individual health care provider with primary practice located at 321 Middlefield Road , Menlo Park CA 94025. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Chan, Jennifer Miye can be contacted via phone (650) 462-0245.

Contact Information

Primary practice address
321 Middlefield Road Menlo Park CA 94025
Phone: (650) 462-0245
Fax: (650) 462-0225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 11014 California

Profile Details

NPI number 1730452251
LBN Legal business name Chan, Jennifer Miye
Credentials OTR.,CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2012
Last updated Feb 14th, 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 1730452251 NPPES
California MEDICAID 05305

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