Yang, Jack M
Yang, Jack M is an individual health care provider with primary practice located at 3129 N Rainbow Blvd , Las Vegas NV 89108-4578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yang, Jack M can be contacted via phone (725) 220-8457.Contact Information
Primary practice address
3129 N Rainbow Blvd
Las Vegas NV 89108-4578
Phone: (725) 220-8457
Fax: (833) 749-0355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17243 | Nevada |
Profile Details
| NPI number | 1720405830 |
|---|---|
| LBN Legal business name | Yang, Jack M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2014 |
| Last updated | Aug 23rd, 2022 - about 3 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 | 1720405830 | NPPES |
| Nevada | Other | V74495 | MEDICARE |
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