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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487644142 NPPES
New York MEDICAID 01922738

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