Chang, Johnny A.
Chang, Johnny A. is an individual health care provider with primary practice located at 538 Litchfield St Suite 102, Torrington CT 06790-6669. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chang, Johnny A. can be contacted via phone (860) 496-8990.Contact Information
Primary practice address
538 Litchfield St Suite 102
Torrington CT 06790-6669
Phone: (860) 496-8990
Fax: (860) 496-7301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 041177 | Connecticut |
Profile Details
| NPI number | 1619975182 |
|---|---|
| LBN Legal business name | Chang, Johnny A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1619975182 | NPPES |
| Connecticut | Other | 0000231610801 | UNITED HEALTHCARE ID |
| Connecticut | MEDICAID | 1411777 | UNITED HEALTHCARE ID |
| Connecticut | Other | 3159551 | UNITED HEALTHCARE ID |
| Connecticut | Other | 041177 | UNITED HEALTHCARE ID |
| Connecticut | Other | 2V4421 | UNITED HEALTHCARE ID |
| Connecticut | Other | 00141177700 | UNITED HEALTHCARE ID |
| Connecticut | Other | 010041177CT01 | UNITED HEALTHCARE ID |
| Connecticut | Other | P2882366 | UNITED HEALTHCARE ID |
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