Chang, Shirley S.

Chang, Shirley S. is an individual health care provider with primary practice located at 462 Grider St , Buffalo NY 14215-3021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Chang, Shirley S. can be contacted via phone (716) 898-3000.

Contact Information

Primary practice address
462 Grider St Buffalo NY 14215-3021
Phone: (716) 898-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 042.0012325 Vermont
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 236591 New York

Profile Details

NPI number 1720063753
LBN Legal business name Chang, Shirley S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 24th, 2015 - about 10 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 1720063753 NPPES
New York MEDICAID 02669469

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