Chang, Vivian K

Chang, Vivian K is an individual health care provider with primary practice located at 167 North Main Street , Tuba City AZ 86045-0600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Chang, Vivian K can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 North Main Street Tuba City AZ 86045-0600
Phone: (928) 283-2501
Fax: (928) 283-2677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 183196 New York

Profile Details

NPI number 1871527309
LBN Legal business name Chang, Vivian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 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 1871527309 NPPES
Arizona MEDICAID 529505

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