Chang, Benjamin Jonah Roda
Chang, Benjamin Jonah Roda is an sole proprietor health care provider with primary practice located at 2801 Meridian St Ste 102 , Bellingham WA 98225-2400. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Chang, Benjamin Jonah Roda can be contacted via phone (360) 756-5866.Contact Information
Primary practice address
2801 Meridian St Ste 102
Bellingham WA 98225-2400
Phone: (360) 756-5866
Fax: (360) 734-0843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC00002946 | Washington |
Profile Details
| NPI number | 1780896399 |
|---|---|
| LBN Legal business name | Chang, Benjamin Jonah Roda |
| Credentials | DTCM, ADS, L.AC. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2007 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780896399 | NPPES |
| Washington | MEDICAID | 1588313639 |
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