Chan, Sara S
Chan, Sara S is an sole proprietor health care provider with primary practice located at 1600 E Jefferson St Ste A1 , Seattle WA 98122-5643. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chan, Sara S can be contacted via phone (206) 320-2200.Contact Information
Primary practice address
1600 E Jefferson St Ste A1
Seattle WA 98122-5643
Phone: (206) 320-2200
Fax: (206) 320-2560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY61196914 | Washington |
Profile Details
| NPI number | 1083971063 |
|---|---|
| LBN Legal business name | Chan, Sara S |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2012 |
| Last updated | Dec 1st, 2023 - about 3 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 | 1083971063 | NPPES |
| Washington | MEDICAID | 2212898 |
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