Chang, Jimmy C
Chang, Jimmy C is an sole proprietor health care provider with primary practice located at 3343 Springhill Dr Ste 1005, North Little Rock AR 72117-2930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Chang, Jimmy C can be contacted via phone (501) 758-9251.Contact Information
Primary practice address
3343 Springhill Dr Ste 1005
North Little Rock AR 72117-2930
Phone: (501) 758-9251
Fax: (501) 758-0308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C5948 | Arkansas |
Profile Details
| NPI number | 1285632463 |
|---|---|
| LBN Legal business name | Chang, Jimmy C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Aug 10th, 2010 - about 14 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 | 1285632463 | NPPES |
| Other | 11257000000 | QUALCHOICE | |
| Other | 160021272 | QUALCHOICE | |
| MEDICAID | 111261001 | QUALCHOICE | |
| Other | 242061 | QUALCHOICE |
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