Chang, Hernan Robert

Chang, Hernan Robert is an sole proprietor health care provider with primary practice located at 3627 University Blvd S Suite 615, Jacksonville FL 32216-4230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Chang, Hernan Robert can be contacted via phone (904) 399-1623.

Contact Information

Primary practice address
3627 University Blvd S Suite 615 Jacksonville FL 32216-4230
Phone: (904) 399-1623
Fax: (904) 399-1624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME88878 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME88878 Florida

Profile Details

NPI number 1891720629
LBN Legal business name Chang, Hernan Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Feb 1st, 2016 - about 10 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 1891720629 NPPES
Florida MEDICAID 276058400

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