Jiang, Songquan
Jiang, Songquan is an individual health care provider with primary practice located at 860 Forest Ave Unit A , Evanston IL 60202-2473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jiang, Songquan can be contacted via phone (773) 273-5453.Contact Information
Primary practice address
860 Forest Ave Unit A
Evanston IL 60202-2473
Phone: (773) 273-5453
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209013070 | Illinois |
Profile Details
NPI number | 1992291348 |
---|---|
LBN Legal business name | Jiang, Songquan |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2018 |
Last updated | Jun 29th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992291348 | NPPES |
Illinois | Other | 2014006230 | ANCC |
Illinois | MEDICAID | 209013070 | ANCC |
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