Wang, Jim
Wang, Jim is an individual health care provider with primary practice located at 2210 E Calvada Blvd , Pahrump NV 89048-5804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wang, Jim can be contacted via phone (775) 727-6400.Contact Information
Primary practice address
2210 E Calvada Blvd
Pahrump NV 89048-5804
Phone: (775) 727-6400
Fax: (775) 727-7543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 907 | Nevada |
Profile Details
| NPI number | 1962614388 |
|---|---|
| LBN Legal business name | Wang, Jim |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2007 |
| Last updated | Jan 17th, 2017 - about 8 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 | 1962614388 | NPPES |
| Nevada | MEDICAID | 1962614388 | |
| Nevada | Other | P00928524 |
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