Chang, Philemon D
Chang, Philemon D is an individual health care provider with primary practice located at 161 Hospital Dr , Mc Kenzie TN 38201-1636. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Chang, Philemon D can be contacted via phone (731) 352-5344.Contact Information
Primary practice address
161 Hospital Dr
Mc Kenzie TN 38201-1636
Phone: (731) 352-5344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 17803 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17803 | Tennessee |
Profile Details
| NPI number | 1144244344 |
|---|---|
| LBN Legal business name | Chang, Philemon D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Dec 30th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144244344 | NPPES |
| Tennessee | MEDICAID | 1507231 | |
| Tennessee | Other | P00643326 | |
| Tennessee | MEDICAID | 3883884 | |
| Tennessee | Other | 4192397 |
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