Chiang, Jonathan Y

Chiang, Jonathan Y is an individual health care provider with primary practice located at 9169 Coors Rd. Nw , Albuquerque NM 87193. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Chiang, Jonathan Y can be contacted via phone (505) 733-8440.

Contact Information

Primary practice address
9169 Coors Rd. Nw Albuquerque NM 87193
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019-026320 Illinois
Dental Providers / Dentist 122300000X 5538443-9921/8903 Utah

Profile Details

NPI number 1598768129
LBN Legal business name Chiang, Jonathan Y
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 25th, 2010 - about 16 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 1598768129 NPPES
New Mexico MEDICAID 45076880

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