Shin, Chang B.
Shin, Chang B. is an sole proprietor health care provider with primary practice located at 4300 Talbot Rd S Suite 303, Renton WA 98055-6238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shin, Chang B. can be contacted via phone (425) 228-7446.Contact Information
Primary practice address
4300 Talbot Rd S Suite 303
Renton WA 98055-6238
Phone: (425) 228-7446
Fax: (425) 277-4746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD00018197 | Washington |
Profile Details
| NPI number | 1730207143 |
|---|---|
| LBN Legal business name | Shin, Chang B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1730207143 | NPPES |
| Washington | Other | 129032 | L&I PROVIDER NUMBER |
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