Active NPIIndividual provider

Fred Chang, DC, LAC

Chiropractor in Galloway, New Jersey

NPI Number1083708663
Practice location
106 E Jimmie Leeds RD, Galloway, NJ 08205-9508
Fax
609-652-6687
Last updated
June 15, 2021

Fred Chang is a Chiropractor based in Galloway, NJ. Fred Chang practices in Galloway, NJ and has the professional credentials of DC, LAC. The NPI Number for Fred Chang is 1083708663 and holds a License No. 38MC00600700 (NJ). The current practice location address for Fred Chang is 106 E Jimmie Leeds RD, Galloway, NJ 08205-9508 and can be reached out via phone at 609-748-8779 and via fax at 609-652-6687.

Provider Profile Details

NPI Number
1083708663
Provider Name
Fred Chang
Credential
DC, LAC
Provider Entity Type
Individual
Gender
Male
Address
106 E Jimmie Leeds RD, Galloway, NJ 08205-9508
Phone Number
609-748-8779
Fax Number
609-652-6687
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2006
Last Update Date
June 15, 2021
Certification Date
June 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
106 E Jimmie Leeds RD
Galloway, NJ 08205-9508
Zip
08205-9508
Phone Number
609-748-8779
Fax Number
609-652-6687
Galloway, NJ 08205Get directions →

Provider Business Mailing Address Details

Address
106 E Jimmie Leeds RD
Galloway, NJ 08205-9508
City
Galloway
State
NJ
Zip
08205-9508
Phone Number
609-748-8779
Fax Number
609-652-6687

License Information

License Number
38MC00600700
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fred Chang, DC, LAC?

The NPI number of Fred Chang, DC, LAC is 1083708663. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Fred Chang, DC, LAC?

Fred Chang, DC, LAC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00600700.

Where does Fred Chang, DC, LAC practice?

The practice location is 106 E Jimmie Leeds RD, Galloway, NJ 08205-9508. The office can be reached at 609-748-8779 (phone) or 609-652-6687 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083708663 directly on the NPPES registry website.

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