Chang, Andrea H

Chang, Andrea H is an individual health care provider with primary practice located at 3236 78Th Ave Se Ste 200 , Mercer Island WA 98040-3500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chang, Andrea H can be contacted via phone (206) 386-9500.

Contact Information

Primary practice address
3236 78Th Ave Se Ste 200 Mercer Island WA 98040-3500
Fax: (206) 386-9605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OP61199690 Washington

Profile Details

NPI number 1689065468
LBN Legal business name Chang, Andrea H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2015
Last updated Feb 25th, 2022 - about 2 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 1689065468 NPPES
Washington MEDICAID 2150949

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