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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215015193 | NPPES |
| Wisconsin | MEDICAID | 43575100 |
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