Chang, Chien-Chung Peter

Chang, Chien-Chung Peter is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chang, Chien-Chung Peter can be contacted via phone (704) 355-2000.

Contact Information

Primary practice address
1000 Blythe Blvd Charlotte NC 28203-5812
Phone: (704) 355-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA63705 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23338 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 198604-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2002-00658 North Carolina

Profile Details

NPI number 1225033426
LBN Legal business name Chang, Chien-Chung Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Apr 26th, 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 1225033426 NPPES
North Carolina MEDICAID 89131PE

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