Fang, Wayne Sy

Fang, Wayne Sy is an individual health care provider with primary practice located at 19020 33Rd Ave W Suite 210, Lynnwood WA 98036-4748. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Fang, Wayne Sy can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Suite 210 Lynnwood WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 46465 - 020 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60082880 Washington
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD60082880 Washington

Profile Details

NPI number 1295810133
LBN Legal business name Fang, Wayne Sy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 29th, 2019 - about 5 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 1295810133 NPPES
Washington Other 0385162 L&I-SOUTH SOUND RADIOLOGY
Washington Other 0367299 L&I-SOUTH SOUND RADIOLOGY
Washington Other 0367300 L&I-SOUTH SOUND RADIOLOGY
Washington Other 0367297 L&I-SOUTH SOUND RADIOLOGY
Washington Other 0367298 L&I-SOUTH SOUND RADIOLOGY
Washington MEDICAID 2000900 L&I-SOUTH SOUND RADIOLOGY

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