Chang, Jason Jinwoo
Chang, Jason Jinwoo is an individual health care provider with primary practice located at 110 Irving St Nw Suite 4B42, Washington DC 20010-3017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Chang, Jason Jinwoo can be contacted via phone (202) 877-7258.Contact Information
Primary practice address
110 Irving St Nw Suite 4B42
Washington DC 20010-3017
Phone: (202) 877-7258
Fax: (202) 877-7258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 51608 | Tennessee |
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | MD044772 | District of Columbia |
Profile Details
| NPI number | 1215198056 |
|---|---|
| LBN Legal business name | Chang, Jason Jinwoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2008 |
| Last updated | Mar 14th, 2017 - about 9 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 | 1215198056 | NPPES |
| Tennessee | Other | 6020062 | BCBS |
| Tennessee | MEDICAID | Q008105 | BCBS |
| Tennessee | MEDICAID | 03606054 | BCBS |
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