Chang, Amie C

Chang, Amie C is an individual health care provider with primary practice located at 11525 Olde Cabin Rd , Creve Coeur MO 63141-7146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chang, Amie C can be contacted via phone (314) 997-0554.

Contact Information

Primary practice address
11525 Olde Cabin Rd Creve Coeur MO 63141-7146
Phone: (314) 997-0554
Fax: (314) 997-5086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2005031799 Missouri

Profile Details

NPI number 1366557209
LBN Legal business name Chang, Amie C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Feb 27th, 2014 - about 10 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 1366557209 NPPES
Other 218233 BLUE CROSS/BLUE SHIELD
Other 000097382 BLUE CROSS/BLUE SHIELD

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