Chang, Dong Wook

Chang, Dong Wook is an sole proprietor health care provider with primary practice located at 505 S 336Th Street , Federal Way WA 98003-6328. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chang, Dong Wook can be contacted via phone (253) 838-6180.

Contact Information

Primary practice address
505 S 336Th Street Federal Way WA 98003-6328
Phone: (253) 838-6180
Fax: (253) 838-6418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00043595 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD00043595 Washington

Profile Details

NPI number 1376583302
LBN Legal business name Chang, Dong Wook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Jul 18th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376583302 NPPES
Washington Other 0202038 LIWA
Washington Other 1056CH LIWA
Washington MEDICAID 8438459 LIWA

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