Chang, Wallace Han Jen

Chang, Wallace Han Jen is an individual health care provider with primary practice located at 17930 Talbot Rd S , Renton WA 98055-6230. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Chang, Wallace Han Jen can be contacted via phone (425) 228-3187.

Contact Information

Primary practice address
17930 Talbot Rd S Renton WA 98055-6230
Phone: (425) 228-3187
Fax: (425) 228-7972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD00019791 Washington
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X MD00019791 Washington
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD00019791 Washington

Profile Details

NPI number 1023165768
LBN Legal business name Chang, Wallace Han Jen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated May 2nd, 2016 - about 8 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 1023165768 NPPES
Washington MEDICAID 1896307
Washington Other 18213

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