Choi, Chang Soo
Choi, Chang Soo is an sole proprietor health care provider with primary practice located at 29355 Northwestern Hwy Suite 100 - Carson Center, Southfield MI 48034-1053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Choi, Chang Soo can be contacted via phone (248) 223-0008.Contact Information
Primary practice address
29355 Northwestern Hwy Suite 100 - Carson Center
Southfield MI 48034-1053
Phone: (248) 223-0008
Fax: (248) 223-0007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301032888 | Michigan |
Profile Details
| NPI number | 1669596458 |
|---|---|
| LBN Legal business name | Choi, Chang Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2007 |
| Last updated | Jul 8th, 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 | 1669596458 | NPPES |
| Michigan | MEDICAID | 1195980 | |
| Michigan | Other | 2406385792 |
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