person
Daniel Chang
Military Health Care Provider in Portsmouth, Virginia
NPI 1811691660

Daniel Chang is a Military Health Care Provider based in Portsmouth, VA. Daniel Chang practices in Portsmouth, VA. The NPI Number for Daniel Chang is 1811691660 and holds a License No. (Virginia).

The current practice location address for Daniel Chang is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-5080 and via fax at 757-953-7552.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
person
Provider Profile Details
NPI Number
1811691660
Provider Name
Daniel Chang
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
Phone Number
757-953-5080
Fax Number
757-953-7552
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
757-953-5080
Fax Number
757-953-7552
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
757-953-5080
Fax Number
757-953-7552
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0116038388 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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