Chang, Chong
Chang, Chong is an individual health care provider with primary practice located at 2042 Wooddale Dr Ste 250 , Woodbury MN 55125-4421. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Chang, Chong can be contacted via phone (651) 300-3328.Contact Information
Primary practice address
2042 Wooddale Dr Ste 250
Woodbury MN 55125-4421
Phone: (651) 300-3328
Fax: (651) 419-1314
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 01229 | Minnesota |
Profile Details
NPI number | 1326458340 |
---|---|
LBN Legal business name | Chang, Chong |
Credentials | MA, LPCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 29th, 2014 |
Last updated | Mar 16th, 2021 - about 4 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 | 1326458340 | NPPES |
Minnesota | MEDICAID | 981932200 |
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