Chang, Hansen A.

Chang, Hansen A. is an sole proprietor health care provider with primary practice located at 4720 Peachtree Industrial Blvd, S-202 , Norcross GA 30071. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chang, Hansen A. can be contacted via phone (770) 454-9047.

Contact Information

Primary practice address
4720 Peachtree Industrial Blvd, S-202 Norcross GA 30071
Fax: (770) 457-6311
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 041414 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041414 Georgia

Profile Details

NPI number 1689735599
LBN Legal business name Chang, Hansen A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Aug 13th, 2008 - about 17 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 1689735599 NPPES
Georgia MEDICAID 00747843B

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