Chang, Jonathan Nicholas
Chang, Jonathan Nicholas is an sole proprietor health care provider with primary practice located at 3201 Springhill Dr # 130 , North Little Rock AR 72117-2910. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Chang, Jonathan Nicholas can be contacted via phone (501) 955-2741.Contact Information
Primary practice address
3201 Springhill Dr # 130
North Little Rock AR 72117-2910
Phone: (501) 955-2741
Fax: (501) 955-4558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E11203 | Arkansas |
Profile Details
| NPI number | 1285053686 |
|---|---|
| LBN Legal business name | Chang, Jonathan Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2014 |
| Last updated | Jun 9th, 2021 - about 3 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 | 1285053686 | NPPES |
| Arkansas | Other | E11203 | ARKANSAS STATE MEDICAL BOARD |
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