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NPI Code Detail

MEDICARE: COLIN CHANG D.C.

MEDICARE:   COLIN  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
1111N00000XChiropractorDC0000002831TN

General Provider Information

NPI Number : 1932631603
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLIN CHANG D.C.
Provider Business Mailing Address
First Line : 8322 LAKESHORE TRAIL EAST DR
Second Line : APT. 913
City : INDIANAPOLIS
State : IN
Zip : 46250-4641
Country : US
Telephone Number : 904-238-8706
Fax Number :
Provider Business Practice Location Address
First Line : 8322 LAKESHORE TRAIL EAST DR
Second Line : APT. 913
City : INDIANAPOLIS
State : IN
Zip : 46250-4641
Country : US
Telephone Number : 904-238-8706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2017
Last Update Date : 03/31/2017

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Directions to “ COLIN CHANG D.C.” Practice Location

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