Wong, Godfrey E

Wong, Godfrey E is an sole proprietor health care provider with primary practice located at 1200 B Gale Wilson Blvd , Fairfield CA 94533-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wong, Godfrey E can be contacted via phone (916) 481-0777.

Contact Information

Primary practice address
1200 B Gale Wilson Blvd Fairfield CA 94533-3552
Phone: (916) 481-0777
Fax: (916) 481-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301085094 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A102650 California

Profile Details

NPI number 1215904198
LBN Legal business name Wong, Godfrey E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Feb 9th, 2011 - about 13 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 1215904198 NPPES
Michigan MEDICAID 4771448
Michigan MEDICAID 4857874

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