Chang, Liza Waichun
Chang, Liza Waichun is an individual health care provider with primary practice located at 515 Fairmount Ave Ste 340 , Towson MD 21286-8522. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Chang, Liza Waichun can be contacted via phone (410) 321-9108.Contact Information
Primary practice address
515 Fairmount Ave Ste 340
Towson MD 21286-8522
Phone: (410) 321-9108
Fax: (410) 321-9126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | D45873 | Maryland |
Profile Details
| NPI number | 1932164100 |
|---|---|
| LBN Legal business name | Chang, Liza Waichun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932164100 | NPPES |
| Maryland | MEDICAID | 122611900 |
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