Boonchoo Chang is a Adult Medicine in Dowagiac, Michigan. Boonchoo Chang practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Boonchoo Chang is 1609932417. The last update date is 2007-12-28.
Boonchoo Chang's current location address is 417 W High St, Dowagiac, Michigan. You can contact this provider via phone number 2697827150 and fax number 2697827020. The mailing address for Boonchoo Chang is 417 W High St, Dowagiac, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Boonchoo Chang |
|---|---|
| Address | 417 W High St, Dowagiac, Michigan |
| Phone Number | 2697827150 |
| Fax Number | 2697827020 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609932417 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-12-28 |
Provider Mailing Address Detail
| Address | 417 W High St |
|---|---|
| City | Dowagiac |
| State | Michigan (MI) |
| Post Code | 490471906 |
| Phone Number | 2697827150 |
| Fax Number | 2697827020 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 4301031400 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1093701 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Boonchoo Chang by the Centers for Medicare & Medicaid Services?
The Boonchoo Chang has been issued the NPI (National Provider Identifier) 1609932417 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Boonchoo Chang is physically located?
The Boonchoo Chang is situated at the following address: 417 W High St, Dowagiac, MI 490471906.
What is Boonchoo Chang's area of expertise and its corresponding taxonomy classification?
The Boonchoo Chang's field of specialization is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their areas of practice.
When did Boonchoo Chang receive its 1609932417 assignment?
The Boonchoo Chang was assigned its 1609932417 on 2006-12-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Boonchoo Chang, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Boonchoo Chang, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-28.
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