Chang, Byung Doo

Chang, Byung Doo is an sole proprietor health care provider with primary practice located at 106 Centre Dr , New Bloomfield PA 17068-9675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chang, Byung Doo can be contacted via phone (717) 582-2181.

Contact Information

Primary practice address
106 Centre Dr New Bloomfield PA 17068-9675
Fax: (717) 582-3434
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD038287 Pennsylvania

Profile Details

NPI number 1225062755
LBN Legal business name Chang, Byung Doo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 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 1225062755 NPPES
Pennsylvania MEDICAID 001797979

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