Ota Wang, Vivian

Ota Wang, Vivian is an individual health care provider with primary practice located at 5603 Hogenhill Ter , Rockville MD 20853-2563. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ota Wang, Vivian can be contacted via phone (301) 871-0567.

Contact Information

Primary practice address
5603 Hogenhill Ter Rockville MD 20853-2563
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4022 Maryland

Profile Details

NPI number 1376528109
LBN Legal business name Ota Wang, Vivian
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 8th, 2007 - about 17 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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