Chang, Phyllis

Chang, Phyllis is an individual health care provider with primary practice located at 604 5Th St , Coralville IA 52241-2304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as her primary health care specialty. Chang, Phyllis can be contacted via phone (319) 358-8788.

Contact Information

Primary practice address
604 5Th St Coralville IA 52241-2304
Fax: (319) 351-9278
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 26997 Iowa

Profile Details

NPI number 1407922768
LBN Legal business name Chang, Phyllis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - 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 1407922768 NPPES
Iowa MEDICAID 1273599

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