Wang, Paul

Wang, Paul is an individual health care provider with primary practice located at 104 W 18Th Ave , Coal Valley IL 61240-9337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wang, Paul can be contacted via phone (309) 799-7518.

Contact Information

Primary practice address
104 W 18Th Ave Coal Valley IL 61240-9337
Phone: (309) 799-7518
Fax: (309) 799-3886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036092209 Illinois

Profile Details

NPI number 1508839481
LBN Legal business name Wang, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jan 15th, 2014 - about 10 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 1508839481 NPPES
Idaho Other 4255D7 JOHN DEERE NUMBER
Idaho Other 91488 JOHN DEERE NUMBER
Idaho Other 60636 JOHN DEERE NUMBER
Idaho Other 143603 JOHN DEERE NUMBER
Idaho MEDICAID 1508839481 JOHN DEERE NUMBER
Idaho Other 80096082 JOHN DEERE NUMBER
Idaho Other 2263301 JOHN DEERE NUMBER

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