Wang, Jack-Ky

Wang, Jack-Ky is an individual health care provider with primary practice located at 1905 E. Huebbe Parkway Beloit Health System, Inc, Beloit WI 53511-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wang, Jack-Ky can be contacted via phone (608) 364-2410.

Contact Information

Primary practice address
1905 E. Huebbe Parkway Beloit Health System, Inc Beloit WI 53511-1842
Phone: (608) 364-2410
Fax: (608) 364-1287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50353-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-108395 Illinois

Profile Details

NPI number 1093744617
LBN Legal business name Wang, Jack-Ky
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 20th, 2011 - about 14 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 1093744617 NPPES
Wisconsin MEDICAID 1093744617

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