Wang, Michael
Wang, Michael is an sole proprietor health care provider with primary practice located at 9727 Elk Grove Florin Rd #190, Elk Grove CA 95624-2264. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wang, Michael can be contacted via phone (916) 686-5165.Contact Information
Primary practice address
9727 Elk Grove Florin Rd #190
Elk Grove CA 95624-2264
Phone: (916) 686-5165
Fax: (916) 686-5865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT10004TPA | California |
Profile Details
| NPI number | 1104820950 |
|---|---|
| LBN Legal business name | Wang, Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jun 17th, 2013 - about 11 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 | 1104820950 | NPPES |
| California | MEDICAID | SDO100040 |
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