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CHAN S HWANG MD PLLC NPI 1487928099


NPI Information

NPI: 1487928099
Provider Name: CHAN S HWANG, MD, PLLC

Other Name: LAKEWOOD ELECTRODIAGNOSIS AND PHYSIATRY

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
126 15TH ST SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 229-0580
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CHAN S HWANG, MD, PLLC is a medical specialty clinic center in Puyallup, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CHAN S HWANG, MD, PLLC NPI is 1487928099. The provider is registered as an organization entity type.
The provider Other Name Is Lakewood Electrodiagnosis And Physiatry.

The provider's business location address is:

126 15TH ST SE
PUYALLUP, WA
ZIP 98372-409
Phone: (253) 229-0580

The provider's authorized official is Chan S Hwang .
The authorized official title is Physician Manager and has the following contact phone number (253) 229-0580.

The enumeration date for this NPI number is 2/28/2012 and was last updated on 2/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyMD00035834WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10150123OTHERWASHINGTONDEPARTMENT OF LABOR AND INDUSTRIES
21114321MEDICAIDWASHINGTON
3AB26252MEDICARE OSCAR/CERTIFICATIONWASHINGTON
4G66018MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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