Chang, Brian K

Chang, Brian K is an individual health care provider with primary practice located at 11050 Parkview Circle Dr , Fort Wayne IN 46845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Chang, Brian K can be contacted via phone (260) 266-9100.

Contact Information

Primary practice address
11050 Parkview Circle Dr Fort Wayne IN 46845
Fax: (260) 266-9110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 01063272A Indiana

Profile Details

NPI number 1245364926
LBN Legal business name Chang, Brian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jun 15th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245364926 NPPES
Michigan MEDICAID 1245364926
Michigan MEDICAID 200857850
Michigan MEDICAID 2735259

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