Wang, Chih Jen
Wang, Chih Jen is an individual health care provider with primary practice located at 1560 W Us Highway 50 , O Fallon IL 62269-1619. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wang, Chih Jen can be contacted via phone (618) 397-6575.Contact Information
Primary practice address
1560 W Us Highway 50
O Fallon IL 62269-1619
Phone: (618) 397-6575
Fax: (800) 432-6004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-009615 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2004001752 | Missouri |
Profile Details
| NPI number | 1861443079 |
|---|---|
| LBN Legal business name | Wang, Chih Jen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 14th, 2014 - about 12 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 | 1861443079 | NPPES |
| Illinois | MEDICAID | 046009615 | |
| Illinois | Other | P00403017 |
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