Chan, Jeremy Dalisay

Chan, Jeremy Dalisay is an sole proprietor health care provider with primary practice located at 6798 Ashburn Rd , Lake Worth FL 33467-7319. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is her primary health care specialty. Chan, Jeremy Dalisay can be contacted via phone (561) 603-5389.

Contact Information

Primary practice address
6798 Ashburn Rd Lake Worth FL 33467-7319
Phone: (561) 603-5389
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA21191 Florida

Profile Details

NPI number 1346413804
LBN Legal business name Chan, Jeremy Dalisay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Aug 31st, 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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