Chang, Chul

Chang, Chul is an individual health care provider with primary practice located at 400 Medical Park Dr , Watervliet MI 49098-9225. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chang, Chul can be contacted via phone (269) 463-2449.

Contact Information

Primary practice address
400 Medical Park Dr Watervliet MI 49098-9225
Phone: (269) 463-2449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X CC043583 Michigan

Profile Details

NPI number 1194760157
LBN Legal business name Chang, Chul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Nov 23rd, 2009 - about 16 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 1194760157 NPPES
Michigan Other 0M55810 MEDICARE - BANGOR
Michigan MEDICAID 2589390 MEDICARE - BANGOR
Michigan MEDICAID 3208317 MEDICARE - BANGOR
Michigan Other 1101102151 MEDICARE - BANGOR
Michigan Other 110H010030 MEDICARE - BANGOR

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