Wang, Jeffrey C

Wang, Jeffrey C is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wang, Jeffrey C can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5177 Mccarty Ln Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 448-7613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT192454 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01071171A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01071171A Indiana

Profile Details

NPI number 1104086958
LBN Legal business name Wang, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Dec 21st, 2022 - about 3 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 1104086958 NPPES
Indiana MEDICAID 201069250
Indiana Other 000000770499
Indiana Other 000000824591

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