Clark, Shannon Wang
Clark, Shannon Wang is an sole proprietor health care provider with primary practice located at 301 Riverview Ave Ste 202A , Norfolk VA 23510-1065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Clark, Shannon Wang can be contacted via phone (757) 252-9140.Contact Information
Primary practice address
301 Riverview Ave Ste 202A
Norfolk VA 23510-1065
Phone: (757) 252-9140
Fax: (757) 793-4149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MT197142 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 0101261902 | Virginia |
Profile Details
| NPI number | 1316258569 |
|---|---|
| LBN Legal business name | Clark, Shannon Wang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2010 |
| Last updated | Oct 5th, 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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