Shin, Wan

Shin, Wan is an individual health care provider with primary practice located at 300 Park Hill Dr , Fredericksburg VA 22401-3387. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Shin, Wan can be contacted via phone (540) 361-7641.

Contact Information

Primary practice address
300 Park Hill Dr Fredericksburg VA 22401-3387
Phone: (540) 361-7641
Fax: (540) 361-1246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101030663 Virginia
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 0101030663 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101030663 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0101030663 Virginia

Profile Details

NPI number 1073521340
LBN Legal business name Shin, Wan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 21st, 2012 - about 13 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 1073521340 NPPES
Virginia MEDICAID 1073521340
Virginia MEDICAID 006841643

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