Wang, Qiujuan

Wang, Qiujuan is an individual health care provider with primary practice located at 400 Celebration Pl Ste A290 , Celebration FL 34747-4970. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wang, Qiujuan can be contacted via phone (407) 303-3827.

Contact Information

Primary practice address
400 Celebration Pl Ste A290 Celebration FL 34747-4970
Phone: (407) 303-3827
Fax: (407) 303-3828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60989637 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 018589 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110006085 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004328 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113633 Florida

Profile Details

NPI number 1174901003
LBN Legal business name Wang, Qiujuan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2015
Last updated Oct 17th, 2022 - about 2 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 1174901003 NPPES
New York MEDICAID 05382861

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