Chang, Jeng Yue

Chang, Jeng Yue is an sole proprietor health care provider with primary practice located at 10212 5Th Ave Ne #100 , Seattle WA 98125-7471. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Chang, Jeng Yue can be contacted via phone (206) 362-2127.

Contact Information

Primary practice address
10212 5Th Ave Ne #100 Seattle WA 98125-7471
Fax: (206) 364-9655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00027322 Washington
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X MD00027322 Washington

Profile Details

NPI number 1194704478
LBN Legal business name Chang, Jeng Yue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Aug 7th, 2007 - 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 1194704478 NPPES
Washington MEDICAID 1064559
Washington Other 56722
Washington Other CH4229

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