Chang, Michael Brian
Chang, Michael Brian is an individual health care provider with primary practice located at 5120 Masthead St Ne , Albuquerque NM 87109-4366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Chang, Michael Brian can be contacted via phone (301) 466-8150.Contact Information
Primary practice address
5120 Masthead St Ne
Albuquerque NM 87109-4366
Phone: (301) 466-8150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 55575 | Minnesota |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD2016-0130 | New Mexico |
Profile Details
| NPI number | 1326337122 |
|---|---|
| LBN Legal business name | Chang, Michael Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2011 |
| Last updated | Nov 29th, 2023 - about last year |
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 | 1326337122 | NPPES |
| Minnesota | MEDICAID | ENROLLED |
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