Fang, Hsien Ta

Fang, Hsien Ta is an individual health care provider with primary practice located at 120 Spalding Dr Suite 410, Naperville IL 60540-6508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fang, Hsien Ta can be contacted via phone (630) 369-0780.

Contact Information

Primary practice address
120 Spalding Dr Suite 410 Naperville IL 60540-6508
Phone: (630) 369-0780
Fax: (630) 369-0886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036103303 Illinois

Profile Details

NPI number 1760562474
LBN Legal business name Fang, Hsien Ta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jan 26th, 2023 - about 2 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 1760562474 NPPES
Illinois Other 1616108 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036103303 BLUE CROSS BLUE SHIELD

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