National Provider Identifier Database

RICHARD TC WAN MD PSC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

RICHARD T.C. WAN, M.D. ,PSC
101 W ROBERTS ST
MORGANTOWN, KY42261-7942
Phone: 270-526-3841
Fax: 270-526-2651
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for RICHARD T.C. WAN, M.D. ,PSC

NPI Number 1104996776
Legal business name
LBN
RICHARD T.C. WAN, M.D. ,PSC
Authorized official RICHARD WAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/09/2006
Last updated 06/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 16599
  • KY Medicaid: 65902033
  • KY Other: 000000045886 BCBS
  • KY Other: 18DO326142 CLIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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