Luy Tan, Wilson Haw

Luy Tan, Wilson Haw is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904-7668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Luy Tan, Wilson Haw can be contacted via phone (920) 303-8700.

Contact Information

Primary practice address
855 N Westhaven Dr Oshkosh WI 54904-7668
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 28716020 Wisconsin

Profile Details

NPI number 1295803427
LBN Legal business name Luy Tan, Wilson Haw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Nov 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295803427 NPPES
Other 544905 DEAN CARE HMO
MEDICAID 1295803427 DEAN CARE HMO
Other 391845223 DEAN CARE HMO

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