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Contact Information

JAE Y CHANG, L.AC.
579 BERGEN BLVD FL 2
RIDGEFIELD, NJ07657-2032
 Phone: 201-945-4372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JAE Y CHANG · (Male)

NPI Number 1124387287
Status Active
Credentials L.AC.
Entity Individual
Enumeration date 05/10/2012
Last updated 03/28/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MZ00030400
  • NY License # 001627
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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