Chang, Willis
Chang, Willis is an individual health care provider with primary practice located at 91-2139 Fort Weaver Road #213, Ewa Beach HI 96706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Chang, Willis can be contacted via phone (808) 671-2456.Contact Information
Primary practice address
91-2139 Fort Weaver Road #213
Ewa Beach HI 96706
Phone: (808) 671-2456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 6115 | Hawaii |
Profile Details
| NPI number | 1558306720 |
|---|---|
| LBN Legal business name | Chang, Willis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Oct 11th, 2007 - about 18 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 | 1558306720 | NPPES |
| Hawaii | MEDICAID | 00661001 |
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