Fang, Yu Chin

Fang, Yu Chin is an individual health care provider with primary practice located at 1300 E Green Bay St , Shawano WI 54166-2210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fang, Yu Chin can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
1300 E Green Bay St Shawano WI 54166-2210
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41542-020 Wisconsin

Profile Details

NPI number 1780616896
LBN Legal business name Fang, Yu Chin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 17th, 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 1780616896 NPPES
Wisconsin MEDICAID 32640300
Wisconsin Other 007645003

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