Wang, Charles E

Wang, Charles E is an individual health care provider with primary practice located at 222 15Th Ave Se , Puyallup WA 98372-3754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wang, Charles E can be contacted via phone (253) 841-4353.

Contact Information

Primary practice address
222 15Th Ave Se Puyallup WA 98372-3754
Fax: (253) 581-5698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00043610 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME85716 Florida

Profile Details

NPI number 1063476984
LBN Legal business name Wang, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1063476984 NPPES
Washington MEDICAID 8391054
Washington Other 185865

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