Chang, Emery J

Chang, Emery J is an individual health care provider with primary practice located at 1720 Cooks Hill Rd Pmg Sw Wa Centralia Gen Surg, Centralia WA 98531-9071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chang, Emery J can be contacted via phone (360) 736-1195.

Contact Information

Primary practice address
1720 Cooks Hill Rd Pmg Sw Wa Centralia Gen Surg Centralia WA 98531-9071
Phone: (360) 736-1195
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00038868 Washington

Profile Details

NPI number 1639261654
LBN Legal business name Chang, Emery J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Feb 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639261654 NPPES
Washington Other 0298161 L & I NUMBER FOR PMG SWR
Washington MEDICAID 1639261654 L & I NUMBER FOR PMG SWR

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