Wang, Dai-Yuan

Wang, Dai-Yuan is an individual health care provider with primary practice located at 2205 W Main St , Russellville AR 72801-2759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wang, Dai-Yuan can be contacted via phone (479) 968-4311.

Contact Information

Primary practice address
2205 W Main St Russellville AR 72801-2759
Phone: (479) 968-4311
Fax: (479) 968-4399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036112423 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 207229 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E-5291 Arkansas

Profile Details

NPI number 1639186406
LBN Legal business name Wang, Dai-Yuan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Mar 27th, 2023 - about 2 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 1639186406 NPPES
Illinois Other P00204251 RAILROAD MEDICARE
Illinois MEDICAID 166953001 RAILROAD MEDICARE
Illinois MEDICAID 036112423 RAILROAD MEDICARE

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