Chang, Ruby
Chang, Ruby is an individual health care provider with primary practice located at 100 Maple Ave Suite 1, Great Barrington MA 01230-1963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chang, Ruby can be contacted via phone (413) 528-4047.Contact Information
Primary practice address
100 Maple Ave Suite 1
Great Barrington MA 01230-1963
Phone: (413) 528-4047
Fax: (413) 528-3407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 51560 | Massachusetts |
Profile Details
| NPI number | 1043279094 |
|---|---|
| LBN Legal business name | Chang, Ruby |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Aug 29th, 2013 - about 11 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 | 1043279094 | NPPES |
| Massachusetts | Other | 201051 | PILGRIM |
| Massachusetts | Other | J05529 | PILGRIM |
| Massachusetts | MEDICAID | 3008835 | PILGRIM |
| Massachusetts | Other | 010051560MA01 | PILGRIM |
| Massachusetts | Other | 11199 | PILGRIM |
| Massachusetts | Other | 7859 | PILGRIM |
| Massachusetts | Other | 515600 | PILGRIM |
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