Hang, Pang Soua

Hang, Pang Soua is an sole proprietor health care provider with primary practice located at 6901 W Edgerton Ave , Greenfield WI 53220-4420. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hang, Pang Soua can be contacted via phone (414) 421-8400.

Contact Information

Primary practice address
6901 W Edgerton Ave Greenfield WI 53220-4420
Phone: (414) 421-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 77088 Wisconsin

Profile Details

NPI number 1417576653
LBN Legal business name Hang, Pang Soua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2020
Last updated Aug 16th, 2023 - about last year

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 1417576653 NPPES
Wisconsin MEDICAID 100211406

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