Ang, Robert Tan
Ang, Robert Tan is an sole proprietor health care provider with primary practice located at 3156 Willowcreek Road , Portage IN 46368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ang, Robert Tan can be contacted via phone (219) 464-2138.Contact Information
Primary practice address
3156 Willowcreek Road
Portage IN 46368
Phone: (219) 464-2138
Fax: (219) 464-2138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | Indiana |
Profile Details
| NPI number | 1730276486 |
|---|---|
| LBN Legal business name | Ang, Robert Tan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Mar 12th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730276486 | NPPES |
| Illinois | Other | 91107827 | IL BLUE CROSS |
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