Chang, Philemon D

Chang, Philemon D is an individual health care provider with primary practice located at 161 Hospital Dr , Mc Kenzie TN 38201-1636. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Chang, Philemon D can be contacted via phone (731) 352-5344.

Contact Information

Primary practice address
161 Hospital Dr Mc Kenzie TN 38201-1636
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17803 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17803 Tennessee

Profile Details

NPI number 1144244344
LBN Legal business name Chang, Philemon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 30th, 2008 - about 17 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 1144244344 NPPES
Tennessee MEDICAID 1507231
Tennessee Other P00643326
Tennessee MEDICAID 3883884
Tennessee Other 4192397

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