Chang, Keon

Chang, Keon is an sole proprietor health care provider with primary practice located at 2001 S Merriman Rd , Westland MI 48186-5544. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Chang, Keon can be contacted via phone (734) 729-3133.

Contact Information

Primary practice address
2001 S Merriman Rd Westland MI 48186-5544
Phone: (734) 729-3133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301037628 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 037628 Michigan

Profile Details

NPI number 1669451738
LBN Legal business name Chang, Keon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Oct 21st, 2009 - about 16 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 1669451738 NPPES
Michigan MEDICAID 2884620 10

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