Chang, Warren Jeffrey
Chang, Warren Jeffrey is an individual health care provider with primary practice located at 1011 W 2Nd St , Bloomington IN 47403-2216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chang, Warren Jeffrey can be contacted via phone (812) 334-1213.Contact Information
Primary practice address
1011 W 2Nd St
Bloomington IN 47403-2216
Phone: (812) 334-1213
Fax: (812) 333-5039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | IN01052241 | Indiana |
Profile Details
| NPI number | 1902888662 |
|---|---|
| LBN Legal business name | Chang, Warren Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Feb 14th, 2012 - 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 | 1902888662 | NPPES |
| Indiana | MEDICAID | 200257620A |
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