Chang, Matthew K
Chang, Matthew K is an individual health care provider with primary practice located at 3155 N Union Blvd , Colorado Springs CO 80907-8703. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Chang, Matthew K can be contacted via phone (719) 219-1312.Contact Information
Primary practice address
3155 N Union Blvd
Colorado Springs CO 80907-8703
Phone: (719) 219-1312
Fax: (719) 635-3578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 43711 | Colorado |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | DR0043711 | Colorado |
Profile Details
| NPI number | 1922061969 |
|---|---|
| LBN Legal business name | Chang, Matthew K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Apr 7th, 2023 - about 2 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 | 1922061969 | NPPES |
| Colorado | MEDICAID | 45880581 |
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