Chang, Jill

Chang, Jill is an individual health care provider with primary practice located at 2818 Long Ave Ne , Canton OH 44705-4841. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Chang, Jill can be contacted via phone (330) 313-8175.

Contact Information

Primary practice address
2818 Long Ave Ne Canton OH 44705-4841
Phone: (330) 313-8175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN260053 Ohio

Profile Details

NPI number 1437270741
LBN Legal business name Chang, Jill
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 9th, 2007 - about 19 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 1437270741 NPPES
Ohio MEDICAID 2584805

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