Chang, Ya Ju
Chang, Ya Ju is an sole proprietor health care provider with primary practice located at 41 Elizabeth Street Suite 203, New York NY 10013-4637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Chang, Ya Ju can be contacted via phone (212) 334-9591.Contact Information
Primary practice address
41 Elizabeth Street Suite 203
New York NY 10013-4637
Phone: (212) 334-9591
Fax: (212) 334-9598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 207546 | New York |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 207546 | New York |
Profile Details
| NPI number | 1801879119 |
|---|---|
| LBN Legal business name | Chang, Ya Ju |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Sep 13th, 2011 - about 14 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 | 1801879119 | NPPES |
| New York | MEDICAID | 01946758 |
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