Chang, Samantha L

Chang, Samantha L is an individual health care provider with primary practice located at 1850A Town Center Pkwy # 1 Suite 209, Reston VA 20190-5851. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Chang, Samantha L can be contacted via phone (703) 437-5532.

Contact Information

Primary practice address
1850A Town Center Pkwy # 1 Suite 209 Reston VA 20190-5851
Phone: (703) 437-5532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110005056 Virginia

Profile Details

NPI number 1902232747
LBN Legal business name Chang, Samantha L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2013
Last updated Nov 27th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902232747 NPPES
Virginia Other 0110005056 VIRGINIA PA LISCENSE
Virginia Other PA9107537 VIRGINIA PA LISCENSE

Popular Providers