Huang, Jack C

Huang, Jack C is an individual health care provider with primary practice located at 14010 Smoketown Rd Suite 117, Woodbridge VA 22192-4704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Huang, Jack C can be contacted via phone (703) 580-0181.

Contact Information

Primary practice address
14010 Smoketown Rd Suite 117 Woodbridge VA 22192-4704
Phone: (703) 580-0181
Fax: (703) 897-8763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101235911 Virginia

Profile Details

NPI number 1003802380
LBN Legal business name Huang, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 13th, 2018 - about 6 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 1003802380 NPPES
Virginia MEDICAID 010102138

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