Jeffrey C Wang in Lafayette - Sports Medicine
Jeffrey C Wang - NPI 1104086958
Jeffrey C Wang is a Sports Medicine in Lafayette, Indiana. Jeffrey C Wang practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jeffrey C Wang is 1104086958. The last update date is 2022-12-21.
Jeffrey C Wang's current location address is 5177 Mccarty Ln, Lafayette, Indiana. You can contact this provider via phone number 7654488000 and fax number 7654487613. The mailing address for Jeffrey C Wang is 5177 Mccarty Ln, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey C Wang |
|---|---|
| Address | 5177 Mccarty Ln, Lafayette, Indiana |
| Phone Number | 7654488000 |
| Fax Number | 7654487613 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104086958 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2022-12-21 |
Provider Mailing Address Detail
| Address | 5177 Mccarty Ln |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479058764 |
| Phone Number | 7654488000 |
| Fax Number | 7654487613 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 01071171A |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201069250 | IN | -- | |
| 770499 | IN | ANTHEM FAMILY MEDICINE PIN | |
| 824591 | IN | ANTHEM URGENT CARE PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeffrey C Wang by the Centers for Medicare & Medicaid Services?
The Jeffrey C Wang has been assigned the NPI (National Provider Identifier) 1104086958 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jeffrey C Wang located?
The Jeffrey C Wang is located at 5177 Mccarty Ln, Lafayette, IN 479058764.
What is Jeffrey C Wang's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey C Wang's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.
When did Jeffrey C Wang receive its 1104086958 assignment?
The Jeffrey C Wang was assigned its 1104086958 on 2008-06-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jeffrey C Wang most recently updated or revised?
The information pertaining to Jeffrey C Wang, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-21.