Chang, Paul Andrew

Chang, Paul Andrew is an sole proprietor health care provider with primary practice located at 2558 W 4Th St , Ontario OH 44906-1209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Chang, Paul Andrew can be contacted via phone (419) 529-4100.

Contact Information

Primary practice address
2558 W 4Th St Ontario OH 44906-1209
Phone: (419) 529-4100
Fax: (419) 529-8700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35078250C Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35078250C Ohio

Profile Details

NPI number 1245217496
LBN Legal business name Chang, Paul Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Jan 6th, 2014 - about 12 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 1245217496 NPPES
Ohio MEDICAID 2192694

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