Fangman, William Leo

Fangman, William Leo is an individual health care provider with primary practice located at 959 Cox Rd , Gastonia NC 28054-3420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Fangman, William Leo can be contacted via phone (704) 866-7576.

Contact Information

Primary practice address
959 Cox Rd Gastonia NC 28054-3420
Phone: (704) 866-7576
Fax: (704) 866-0106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 200201075 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME100630 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2019-00293 North Carolina

Profile Details

NPI number 1851404859
LBN Legal business name Fangman, William Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851404859 NPPES
North Carolina MEDICAID 5904546
North Carolina MEDICAID 280314300

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