| Chang Chiropractic Inc | |
|
1803 Ne Jensen Beach Blvd Jensen Beach FL 34957-7233 | |
| (772) 334-1377 | |
| Not Available |
| Full Name | Chang Chiropractic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1803 Ne Jensen Beach Blvd, Jensen Beach, Florida |
| Authorized Official Name and Position | Joey Brian Chang (OWNER) |
| Authorized Official Contact | 7723371377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chang Chiropractic Inc 1803 Ne Jensen Beach Blvd Jensen Beach FL 34957-7233 Ph: (772) 334-1377 | Chang Chiropractic Inc 1803 Ne Jensen Beach Blvd Jensen Beach FL 34957-7233 Ph: (772) 334-1377 |
| NPI Number | 1821038639 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 11/12/2008 |
| Medicare PECOS PAC ID | 2769494368 |
|---|---|
| Medicare Enrollment ID | O20060623000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821038639 | NPI | - | NPPES |
| 64015 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH8405 (Florida) | Primary |
| Provider Name | Joey Brian Chang |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760424527 PECOS PAC ID: 5395757991 Enrollment ID: I20060623000163 |
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