Choi, Chang Song
Choi, Chang Song is an sole proprietor health care provider with primary practice located at 46 Goodwin Street , Bristol CT 06010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Choi, Chang Song can be contacted via phone (860) 589-6919.Contact Information
Primary practice address
46 Goodwin Street
Bristol CT 06010
Phone: (860) 589-6919
Fax: (860) 582-2890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 015857 | Connecticut |
Profile Details
| NPI number | 1740290857 |
|---|---|
| LBN Legal business name | Choi, Chang Song |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | May 8th, 2009 - about 15 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 | 1740290857 | NPPES |
| Connecticut | MEDICAID | 001158575 |
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