Wang, Jun
Wang, Jun is an individual health care provider with primary practice located at 10351 Dawsons Creek Blvd Ste D, Fort Wayne IN 46825-1904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wang, Jun can be contacted via phone (260) 969-1950.Contact Information
Primary practice address
10351 Dawsons Creek Blvd Ste D
Fort Wayne IN 46825-1904
Phone: (260) 969-1950
Fax: (260) 969-0989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01060887 | Indiana |
Profile Details
| NPI number | 1457336539 |
|---|---|
| LBN Legal business name | Wang, Jun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Nov 6th, 2008 - about 17 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 | 1457336539 | NPPES |
| Indiana | MEDICAID | 200850020 |
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