Tan, Lung Kang
Tan, Lung Kang is an sole proprietor health care provider with primary practice located at 5202 Faraon St Ste A , Saint Joseph MO 64506-3840. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tan, Lung Kang can be contacted via phone (816) 271-1067.Contact Information
Primary practice address
5202 Faraon St Ste A
Saint Joseph MO 64506-3840
Phone: (816) 271-1067
Fax: (816) 271-1071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 2004035104 | Missouri |
Profile Details
| NPI number | 1205862778 |
|---|---|
| LBN Legal business name | Tan, Lung Kang |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Oct 30th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205862778 | NPPES |
| Missouri | MEDICAID | 301208005 | |
| Missouri | Other | P00353075 |
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