Wang, Emma C

Wang, Emma C is an sole proprietor health care provider with primary practice located at 3006 Lincolnway E , Mishawaka IN 46544-3501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Wang, Emma C can be contacted via phone (574) 252-7133.

Contact Information

Primary practice address
3006 Lincolnway E Mishawaka IN 46544-3501
Phone: (574) 252-7133
Fax: (844) 361-2090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001493 Indiana
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 002001493 Indiana

Profile Details

NPI number 1982647434
LBN Legal business name Wang, Emma C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Aug 17th, 2020 - about 6 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 1982647434 NPPES
Indiana MEDICAID 300037230

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