Zhang, Gongqiao

Zhang, Gongqiao is an individual health care provider with primary practice located at 100 Oak Lee Dr , Ranson WV 25438-4879. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Zhang, Gongqiao can be contacted via phone (304) 930-0001.

Contact Information

Primary practice address
100 Oak Lee Dr Ranson WV 25438-4879
Phone: (304) 930-0001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002256 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01492 West Virginia

Profile Details

NPI number 1508918012
LBN Legal business name Zhang, Gongqiao
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Mar 7th, 2023 - 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 1508918012 NPPES
West Virginia Other 01492 WEST VIRGINIA PA LICENSE

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