Chang, Sue
Chang, Sue is an individual health care provider with primary practice located at 136 Sherman Ave Suite 405, New Haven CT 06511-5238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Chang, Sue can be contacted via phone (203) 787-0117.Contact Information
Primary practice address
136 Sherman Ave Suite 405
New Haven CT 06511-5238
Phone: (203) 787-0117
Fax: (203) 777-3559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 34691 | Connecticut |
Profile Details
| NPI number | 1528054848 |
|---|---|
| LBN Legal business name | Chang, Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Oct 11th, 2011 - about 13 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 | 1528054848 | NPPES |
| Connecticut | MEDICAID | 001346916 |
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