Moua, Vang

Moua, Vang is an individual health care provider with primary practice located at 5950 N 74Th St , Milwaukee WI 53218-1830. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Moua, Vang can be contacted via phone (414) 374-2520.

Contact Information

Primary practice address
5950 N 74Th St Milwaukee WI 53218-1830
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X M0008638320601 Wisconsin

Profile Details

NPI number 1518428721
LBN Legal business name Moua, Vang
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2019
Last updated Mar 29th, 2019 - about 7 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 1518428721 NPPES
Wisconsin Other M0008638320601 DRIVER'S LICENSE

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