Tongco, Wayne P

Tongco, Wayne P is an individual health care provider with primary practice located at 2340 Knob Creek Rd Suite 720, Johnson City TN 37604-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Tongco, Wayne P can be contacted via phone (423) 926-6112.

Contact Information

Primary practice address
2340 Knob Creek Rd Suite 720 Johnson City TN 37604-2100
Phone: (423) 926-6112
Fax: (423) 434-0278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD36058 Tennessee

Profile Details

NPI number 1609830504
LBN Legal business name Tongco, Wayne P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Apr 22nd, 2009 - about 15 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 1609830504 NPPES
Tennessee MEDICAID 3875502

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