Fan, Wei
Fan, Wei is an individual health care provider with primary practice located at 13987 35Th Ave L#2, Flushing NY 11354-3551. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fan, Wei can be contacted via phone (718) 886-6675.Contact Information
Primary practice address
13987 35Th Ave L#2
Flushing NY 11354-3551
Phone: (718) 886-6675
Fax: (718) 886-6675
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 047393 | New York |
Profile Details
NPI number | 1487644142 |
---|---|
LBN Legal business name | Fan, Wei |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1487644142 | NPPES |
New York | MEDICAID | 01922738 |
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