Chang, Keuck

Chang, Keuck is an individual health care provider with primary practice located at 6789 Ridge Rd Ste 203, Parma OH 44129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chang, Keuck can be contacted via phone (440) 888-4426.

Contact Information

Primary practice address
6789 Ridge Rd Ste 203 Parma OH 44129
Phone: (440) 888-4426
Fax: (440) 888-5033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35041642 Ohio
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101238001 Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C52033 California

Profile Details

NPI number 1669444279
LBN Legal business name Chang, Keuck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 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 1669444279 NPPES
Ohio MEDICAID 0378247

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