Provider / Organization | NPI | Date Certified |
---|---|---|
JIN YUAN WANG | 1396372850 | 2023-05-06 |
Jin Yuan Wang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396372850. Registration indicates Jin Yuan Wang is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Dr. Jin Yuan Wang MD |
Practice Office Address | 2900 HAWKINS DR SEARCY, AR US |
Practice Office Telephone | 5012788350 |
Practice Office Fax | 5012788340 |
Mailing Address | 2900 HAWKINS DR SEARCY, AR 721434802 US |
Business Telephone | 5012788350 |
Business Fax | 5012788340 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 82010
WI |