Wang, Haiqiu Elaine
Wang, Haiqiu Elaine is an sole proprietor health care provider with primary practice located at 420 S Germantown Pkwy Suite 105B, Cordova TN 38018-4387. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wang, Haiqiu Elaine can be contacted via phone (901) 343-0180.Contact Information
Primary practice address
420 S Germantown Pkwy Suite 105B
Cordova TN 38018-4387
Phone: (901) 343-0180
Fax: (901) 590-0349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD37771 | Tennessee |
Profile Details
| NPI number | 1467466136 |
|---|---|
| LBN Legal business name | Wang, Haiqiu Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Mar 2nd, 2017 - about 9 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 | 1467466136 | NPPES |
| Tennessee | MEDICAID | 3703214 | |
| Tennessee | MEDICAID | Q006833 |
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