Van Der Ham, Alex Chadwick

Van Der Ham, Alex Chadwick is an sole proprietor health care provider with primary practice located at 26730 Towne Centre Dr Ste 204 , Lake Forest CA 92610-2842. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Van Der Ham, Alex Chadwick can be contacted via phone (949) 380-1234.

Contact Information

Primary practice address
26730 Towne Centre Dr Ste 204 Lake Forest CA 92610-2842
Phone: (949) 380-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 59204 California

Profile Details

NPI number 1043853237
LBN Legal business name Van Der Ham, Alex Chadwick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2019
Last updated Apr 8th, 2021 - about 5 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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