Individual
JAKE CHRIS CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1141 HOSPITAL DR NW, CORYDON, IN 47112-2164
(812) 738-4251
Mailing address
PO BOX 38, CORYDON, IN 47112-0038
(812) 738-4251
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
45453
KY
Other
Enumeration date
01/22/2008
Last updated
07/25/2022
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