Li, Changxin

Li, Changxin is an individual health care provider with primary practice located at 829 N Center Ave Suite 140, Gaylord MI 49735-1595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Li, Changxin can be contacted via phone (989) 731-7870.

Contact Information

Primary practice address
829 N Center Ave Suite 140 Gaylord MI 49735-1595
Fax: (989) 731-7837
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301058124 Michigan

Profile Details

NPI number 1114958899
LBN Legal business name Li, Changxin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 3rd, 2013 - about 13 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 1114958899 NPPES
Other DC6209 MEDICARE RR PROV ID
Other 1106900352 MEDICARE RR PROV ID
Other 11281960 MEDICARE RR PROV ID
Other 381303843 MEDICARE RR PROV ID
MEDICAID 4299165 MEDICARE RR PROV ID

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