Chang, Michael W
Chang, Michael W is an sole proprietor health care provider with primary practice located at 14405 W Colfax Ave # 142 , Lakewood CO 80401-3247. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chang, Michael W can be contacted via phone (720) 325-5989.Contact Information
Primary practice address
14405 W Colfax Ave # 142
Lakewood CO 80401-3247
Phone: (720) 325-5989
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8912 | Colorado |
| Dental Providers / General Practice | 1223G0001X | 22DI02267600 | New Jersey |
| Dental Providers / General Practice | 1223G0001X | 051348 | New York |
| Dental Providers / General Practice | 1223G0001X | 13993 | Maryland |
| Dental Providers / General Practice | 1223G0001X | 0401412359 | Virginia |
| Dental Providers / General Practice | 1223G0001X | DEN1000810 | District of Columbia |
Profile Details
| NPI number | 1215997218 |
|---|---|
| LBN Legal business name | Chang, Michael W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Nov 2nd, 2015 - about 9 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 | 1215997218 | NPPES |
| New York | Other | 02558294 | NEW YORK MEDICAID |
| New York | MEDICAID | 74405519 | NEW YORK MEDICAID |
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