Wang, Paul W
Wang, Paul W is an individual health care provider with primary practice located at 6100 Newport Rd Suite 100, Portage MI 49002-9235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wang, Paul W can be contacted via phone (269) 343-4679.Contact Information
Primary practice address
6100 Newport Rd Suite 100
Portage MI 49002-9235
Phone: (269) 343-4679
Fax: (269) 343-5929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301026711 | Michigan |
Profile Details
| NPI number | 1750475695 |
|---|---|
| LBN Legal business name | Wang, Paul W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1750475695 | NPPES |
| Michigan | MEDICAID | 1260265 |
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