Wong, Heather Gagnon

Wong, Heather Gagnon is an individual health care provider with primary practice located at 8340 Linden Lane , Prairie Village KS 66207. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wong, Heather Gagnon can be contacted via phone (913) 707-4303.

Contact Information

Primary practice address
8340 Linden Lane Prairie Village KS 66207
Phone: (913) 707-4303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 119884 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-02753 Kansas

Profile Details

NPI number 1972577500
LBN Legal business name Wong, Heather Gagnon
Credentials MS PT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972577500 NPPES
Missouri MEDICAID 484700406

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