Wang, Jon B
Wang, Jon B is an individual health care provider with primary practice located at 6320 N. La Cholla Blvd #200 , Tucson AZ 85741-3549. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wang, Jon B can be contacted via phone (520) 382-8200.Contact Information
Primary practice address
6320 N. La Cholla Blvd #200
Tucson AZ 85741-3549
Phone: (520) 382-8200
Fax: (520) 297-3505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9942 | Arizona |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 9942 | Arizona |
Profile Details
NPI number | 1174524714 |
---|---|
LBN Legal business name | Wang, Jon B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2005 |
Last updated | Jan 5th, 2012 - about 13 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 | 1174524714 | NPPES |
Arizona | MEDICAID | 204917 |
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