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Contact Information

COLIN E CHANG, MD
2605 E. CREEK'S EDGE DR.
BLOOMINGTON, IN47401
 Phone: 812-355-2300
 Fax: 812-355-2316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COLIN E CHANG · (Male)

NPI # 1114922986
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2005
Last updated 10/12/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01045412A
  • IN Medicaid 200188940
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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