Chang, Mona Pinghua
Chang, Mona Pinghua is an sole proprietor health care provider with primary practice located at 1205 River Ave Fl 2 , Williamsport PA 17701-3724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Chang, Mona Pinghua can be contacted via phone (570) 326-4118.Contact Information
Primary practice address
1205 River Ave Fl 2
Williamsport PA 17701-3724
Phone: (570) 326-4118
Fax: (570) 326-5533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD044123E | Pennsylvania |
Profile Details
| NPI number | 1639159825 |
|---|---|
| LBN Legal business name | Chang, Mona Pinghua |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Apr 13th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639159825 | NPPES |
| Pennsylvania | Other | 461985F6K | MEDICARE PTAN |
| Pennsylvania | MEDICAID | 0011677070001 | MEDICARE PTAN |
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