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NPI Code Detail

MEDICARE: DR. JOEY BRIAN CHANG D.C.

MEDICARE: DR. JOEY BRIAN CHANG D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH8405FL

General Provider Information

NPI Number : 1760424527
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEY BRIAN CHANG D.C.
Provider Business Mailing Address
First Line : 1803 NE JENSEN BEACH BLVD
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-7233
Country : US
Telephone Number : 772-334-1377
Fax Number : 772-334-1391
Provider Business Practice Location Address
First Line : 1803 NE JENSEN BEACH BLVD
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-7233
Country : US
Telephone Number : 772-334-1377
Fax Number : 772-334-1391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 12/14/2011

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