Wong, Carol K
Wong, Carol K is an individual health care provider with primary practice located at 123 Summer St Suite 150S, Worcester MA 01608-1216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wong, Carol K can be contacted via phone (508) 368-3110.Contact Information
Primary practice address
123 Summer St Suite 150S
Worcester MA 01608-1216
Phone: (508) 368-3110
Fax: (508) 368-3113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 082522-23 | New Hampshire |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN2258359 | Massachusetts |
Profile Details
| NPI number | 1437423647 |
|---|---|
| LBN Legal business name | Wong, Carol K |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2012 |
| Last updated | Oct 5th, 2020 - about 5 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 | 1437423647 | NPPES |
| New Hampshire | MEDICAID | 3103202 |
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