Chang, Jason Jinwoo

Chang, Jason Jinwoo is an individual health care provider with primary practice located at 110 Irving St Nw Suite 4B42, Washington DC 20010-3017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Chang, Jason Jinwoo can be contacted via phone (202) 877-7258.

Contact Information

Primary practice address
110 Irving St Nw Suite 4B42 Washington DC 20010-3017
Phone: (202) 877-7258
Fax: (202) 877-7258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 51608 Tennessee
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X MD044772 District of Columbia

Profile Details

NPI number 1215198056
LBN Legal business name Chang, Jason Jinwoo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Mar 14th, 2017 - about 8 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 1215198056 NPPES
Tennessee Other 6020062 BCBS
Tennessee MEDICAID Q008105 BCBS
Tennessee MEDICAID 03606054 BCBS

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