Fan, Jingyuan
Fan, Jingyuan is an individual health care provider with primary practice located at 3450 Lacey Road , Downers Grove IL 60515-2668. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Fan, Jingyuan can be contacted via phone (630) 743-4967.Contact Information
Primary practice address
3450 Lacey Road
Downers Grove IL 60515-2668
Phone: (630) 743-4967
Fax: (630) 743-4537
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 000054 | New York |
Profile Details
NPI number | 1952718629 |
---|---|
LBN Legal business name | Fan, Jingyuan |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2014 |
Last updated | Aug 20th, 2016 - about 8 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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