Pang, Willett

Pang, Willett is an individual health care provider with primary practice located at 3050 Montvale Dr Ste A , Springfield IL 62704-6924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pang, Willett can be contacted via phone (217) 726-8096.

Contact Information

Primary practice address
3050 Montvale Dr Ste A Springfield IL 62704-6924
Phone: (217) 726-8096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32680 Wisconsin

Profile Details

NPI number 1407813637
LBN Legal business name Pang, Willett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Aug 12th, 2015 - about 11 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 1407813637 NPPES
Wisconsin MEDICAID 31753300

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