Chang, Dwayne

Chang, Dwayne is an sole proprietor health care provider with primary practice located at 19861 Graystone Ln , San Jose CA 95120-1032. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Chang, Dwayne can be contacted via phone (408) 550-6537.

Contact Information

Primary practice address
19861 Graystone Ln San Jose CA 95120-1032
Phone: (408) 550-6537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1154689214
LBN Legal business name Chang, Dwayne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2012
Last updated Oct 25th, 2021 - about 5 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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