Wang, Sophia Shuangyu

Wang, Sophia Shuangyu is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Wang, Sophia Shuangyu can be contacted via phone (601) 984-2195.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-2195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 29020 Mississippi

Profile Details

NPI number 1518494970
LBN Legal business name Wang, Sophia Shuangyu
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2017
Last updated Jul 26th, 2021 - about 5 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 1518494970 NPPES
District of Columbia MEDICAID MD048268

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