Wang, Zhan

Wang, Zhan is an individual health care provider with primary practice located at 3702 S State St Ste 107 , South Salt Lake UT 84115-5096. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Wang, Zhan can be contacted via phone (801) 288-2634.

Contact Information

Primary practice address
3702 S State St Ste 107 South Salt Lake UT 84115-5096
Phone: (801) 288-2634
Fax: (801) 288-1186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6607076-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6607076-4405 Utah

Profile Details

NPI number 1205486420
LBN Legal business name Wang, Zhan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2019
Last updated May 6th, 2024 - about 6 months 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 1205486420 NPPES
Utah MEDICAID 1205486420

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