Wong, Douglas S
Wong, Douglas S is an individual health care provider with primary practice located at 7130 N Millbrook Ave , Fresno CA 93720-3347. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wong, Douglas S can be contacted via phone (559) 450-5500.Contact Information
Primary practice address
7130 N Millbrook Ave
Fresno CA 93720-3347
Phone: (559) 450-5500
Fax: (559) 450-7473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G45487 | California |
Profile Details
| NPI number | 1699778399 |
|---|---|
| LBN Legal business name | Wong, Douglas S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jul 20th, 2015 - about 9 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 | 1699778399 | NPPES |
| California | MEDICAID | 00G454870 |
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