Chang, Wallace Han Jen
Chang, Wallace Han Jen is an individual health care provider with primary practice located at 17930 Talbot Rd S , Renton WA 98055-6230. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Chang, Wallace Han Jen can be contacted via phone (425) 228-3187.Contact Information
Primary practice address
17930 Talbot Rd S
Renton WA 98055-6230
Phone: (425) 228-3187
Fax: (425) 228-7972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD00019791 | Washington |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | MD00019791 | Washington |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | MD00019791 | Washington |
Profile Details
| NPI number | 1023165768 |
|---|---|
| LBN Legal business name | Chang, Wallace Han Jen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | May 2nd, 2016 - about 9 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 | 1023165768 | NPPES |
| Washington | MEDICAID | 1896307 | |
| Washington | Other | 18213 |
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