Wong, Bert Y.S.
Wong, Bert Y.S. is an individual health care provider with primary practice located at 1400 E Boulder St Suite # 700, Colorado Springs CO 80909-5533. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wong, Bert Y.S. can be contacted via phone (719) 635-7173.Contact Information
Primary practice address
1400 E Boulder St Suite # 700
Colorado Springs CO 80909-5533
Phone: (719) 635-7173
Fax: (719) 636-9225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25298 | Colorado |
Profile Details
| NPI number | 1427057017 |
|---|---|
| LBN Legal business name | Wong, Bert Y.S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Nov 28th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427057017 | NPPES |
| Colorado | MEDICAID | 01252980 |
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