Chang, Boonchoo

Chang, Boonchoo is an sole proprietor health care provider with primary practice located at 417 W High St , Dowagiac MI 49047-1906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Chang, Boonchoo can be contacted via phone (269) 782-7150.

Contact Information

Primary practice address
417 W High St Dowagiac MI 49047-1906
Phone: (269) 782-7150
Fax: (269) 782-7020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 4301031400 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301031400 Michigan

Profile Details

NPI number 1609932417
LBN Legal business name Chang, Boonchoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Dec 28th, 2007 - about 17 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 1609932417 NPPES
Michigan MEDICAID 1093701

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