Chang, Ethan
Chang, Ethan is an sole proprietor health care provider with primary practice located at 7203 129Th Ave Se Ste 100 , Newcastle WA 98056-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chang, Ethan can be contacted via phone (425) 690-3455.Contact Information
Primary practice address
7203 129Th Ave Se Ste 100
Newcastle WA 98056-1412
Phone: (425) 690-3455
Fax: (425) 690-9455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP61311708 | Washington |
Profile Details
| NPI number | 1578004131 |
|---|---|
| LBN Legal business name | Chang, Ethan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2017 |
| Last updated | Sep 15th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578004131 | NPPES |
| Washington | MEDICAID | 2160428 |
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