Pan, Nathan Chang
Pan, Nathan Chang is an sole proprietor health care provider with primary practice located at 585 Beverly Ave , San Leandro CA 94577-1929. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pan, Nathan Chang can be contacted via phone (510) 632-0637.Contact Information
Primary practice address
585 Beverly Ave
San Leandro CA 94577-1929
Phone: (510) 632-0637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 31508 | California |
Profile Details
| NPI number | 1841336591 |
|---|---|
| LBN Legal business name | Pan, Nathan Chang |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1841336591 | NPPES |
| California | Other | 31508 | DENTAL LICENSE |
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