Wang, Alice
Wang, Alice is an individual health care provider with primary practice located at 6611 Clyo Rd Ste F , Dayton OH 45459-2785. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Wang, Alice can be contacted via phone (937) 208-5300.Contact Information
Primary practice address
6611 Clyo Rd Ste F
Dayton OH 45459-2785
Phone: (937) 208-5300
Fax: (937) 208-5650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2020-01877 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.143080 | Ohio |
Profile Details
| NPI number | 1073856787 |
|---|---|
| LBN Legal business name | Wang, Alice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2013 |
| Last updated | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073856787 | NPPES |
| Ohio | MEDICAID | 0455709 |
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