Chang, Justin

Chang, Justin is an individual health care provider with primary practice located at 517 3Rd St Ste 2 , Eureka CA 95501-0460. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Chang, Justin can be contacted via phone (707) 442-5683.

Contact Information

Primary practice address
517 3Rd St Ste 2 Eureka CA 95501-0460
Phone: (707) 442-5683
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO1879 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS016066 Pennsylvania
Other Service Providers / Acupuncturist 171100000X DO1879 Nevada
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 20A18091 California

Profile Details

NPI number 1265788228
LBN Legal business name Chang, Justin
Credentials DO, FAAHPM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2012
Last updated Aug 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265788228 NPPES
Other 13526128 CAQH
MEDICAID 1265788228 CAQH

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