Chang, Mary C.

Chang, Mary C. is an individual health care provider with primary practice located at 600 Primrose St Ste 202 , Haverhill MA 01830-2659. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Chang, Mary C. can be contacted via phone (978) 556-1000.

Contact Information

Primary practice address
600 Primrose St Ste 202 Haverhill MA 01830-2659
Phone: (978) 556-1000
Fax: (978) 556-0094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X K1390 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 243524 Massachusetts

Profile Details

NPI number 1407870389
LBN Legal business name Chang, Mary C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Oct 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407870389 NPPES
Texas Other K1390 STATE LICENSE
Texas Other 8P0851 STATE LICENSE
Texas MEDICAID 039764802 STATE LICENSE

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