Meyer Chan, Patricia

Meyer Chan, Patricia is an individual health care provider with primary practice located at 5800 N Bay Shore Dr Suite A250, Glendale WI 53217. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Meyer Chan, Patricia can be contacted via phone (414) 962-6764.

Contact Information

Primary practice address
5800 N Bay Shore Dr Suite A250 Glendale WI 53217
Phone: (414) 962-6764
Fax: (414) 962-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2396057 Wisconsin

Profile Details

NPI number 1215015193
LBN Legal business name Meyer Chan, Patricia
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 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 1215015193 NPPES
Wisconsin MEDICAID 43575100

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