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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1376583302 | NPPES |
| Washington | Other | 0202038 | LIWA |
| Washington | Other | 1056CH | LIWA |
| Washington | MEDICAID | 8438459 | LIWA |
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