Wang, Andrew Manongdo
Wang, Andrew Manongdo is an individual health care provider with primary practice located at 2848 Niles Rd , Saint Joseph MI 49085-3352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wang, Andrew Manongdo can be contacted via phone (269) 428-3300.Contact Information
Primary practice address
2848 Niles Rd
Saint Joseph MI 49085-3352
Phone: (269) 428-3300
Fax: (269) 428-5005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301086112 | Michigan |
Profile Details
| NPI number | 1992701098 |
|---|---|
| LBN Legal business name | Wang, Andrew Manongdo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jan 26th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992701098 | NPPES |
| Michigan | MEDICAID | 4741387 | |
| Michigan | MEDICAID | 4826671 |
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