Wang, Sam
Wang, Sam is an individual health care provider with primary practice located at 149 Buckley Rd , Libertyville IL 60048-1400. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wang, Sam can be contacted via phone (224) 207-4180.Contact Information
Primary practice address
149 Buckley Rd
Libertyville IL 60048-1400
Phone: (224) 207-4180
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 038009501 | Illinois |
Profile Details
NPI number | 1073520136 |
---|---|
LBN Legal business name | Wang, Sam |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2006 |
Last updated | Mar 18th, 2016 - about 8 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 | 1073520136 | NPPES |
Illinois | Other | 02230328 | BCBS |
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