Chang, Jennifer

Chang, Jennifer is an individual health care provider with primary practice located at 1245 Orange Ave Ste 120 , Winter Park FL 32789-4954. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Chang, Jennifer can be contacted via phone (407) 478-4585.

Contact Information

Primary practice address
1245 Orange Ave Ste 120 Winter Park FL 32789-4954
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X TRN13781 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME115489 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME115489 Florida

Profile Details

NPI number 1033349139
LBN Legal business name Chang, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Jul 9th, 2020 - 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 1033349139 NPPES
Florida MEDICAID 013414400

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