Wang, Jian
Wang, Jian is an sole proprietor health care provider with primary practice located at 151 Knollcroft Rd Extended Care Line, Lyons NJ 07019. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Wang, Jian can be contacted via phone (832) 766-3990.Contact Information
Primary practice address
151 Knollcroft Rd Extended Care Line
Lyons NJ 07019
Phone: (832) 766-3990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 25MA08379000 | New Jersey |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M5568 | Texas |
Profile Details
| NPI number | 1356402093 |
|---|---|
| LBN Legal business name | Wang, Jian |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Sep 17th, 2008 - about 17 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 | 1356402093 | NPPES |
| Texas | MEDICAID | K3204660 | |
| Texas | MEDICAID | 186598202 |
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