Clark, Shannon Wang

Clark, Shannon Wang is an sole proprietor health care provider with primary practice located at 301 Riverview Ave Ste 202A , Norfolk VA 23510-1065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Clark, Shannon Wang can be contacted via phone (757) 252-9140.

Contact Information

Primary practice address
301 Riverview Ave Ste 202A Norfolk VA 23510-1065
Phone: (757) 252-9140
Fax: (757) 793-4149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MT197142 Pennsylvania
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101261902 Virginia

Profile Details

NPI number 1316258569
LBN Legal business name Clark, Shannon Wang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2010
Last updated Oct 5th, 2021 - about 3 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.

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