Wang, Jon B

Wang, Jon B is an individual health care provider with primary practice located at 6320 N. La Cholla Blvd #200 , Tucson AZ 85741-3549. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Wang, Jon B can be contacted via phone (520) 382-8200.

Contact Information

Primary practice address
6320 N. La Cholla Blvd #200 Tucson AZ 85741-3549
Phone: (520) 382-8200
Fax: (520) 297-3505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 9942 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 9942 Arizona

Profile Details

NPI number 1174524714
LBN Legal business name Wang, Jon B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Jan 5th, 2012 - about 14 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 1174524714 NPPES
Arizona MEDICAID 204917

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