Kwong, Henry Mark

Kwong, Henry Mark is an individual health care provider with primary practice located at 1750 E Glendale Ave , Phoenix AZ 85020-5505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Kwong, Henry Mark can be contacted via phone (602) 242-4928.

Contact Information

Primary practice address
1750 E Glendale Ave Phoenix AZ 85020-5505
Fax: (602) 249-4813
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 36537 Arizona

Profile Details

NPI number 1033257746
LBN Legal business name Kwong, Henry Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Apr 29th, 2020 - about 4 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 1033257746 NPPES
Arizona MEDICAID 220709

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