Wong, Jason T
Wong, Jason T is an individual health care provider with primary practice located at 500 Harvard Street Se Unit J2-300, Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Wong, Jason T can be contacted via phone (612) 273-6004.Contact Information
Primary practice address
500 Harvard Street Se Unit J2-300
Minneapolis MN 55455
Phone: (612) 273-6004
Fax: (612) 273-8459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 47826 | Minnesota |
Profile Details
| NPI number | 1134214307 |
|---|---|
| LBN Legal business name | Wong, Jason T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 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 | 1134214307 | NPPES |
| Montana | MEDICAID | 0144508 | |
| Montana | MEDICAID | 0594143 | |
| Montana | Other | 2366354 | |
| Montana | Other | 615T6WO | |
| Montana | MEDICAID | 208670100 | |
| Montana | Other | 132919 | |
| Montana | Other | B632 | |
| Montana | MEDICAID | 34666400 | |
| Montana | Other | 238881 | |
| Montana | Other | HP52811 | |
| Montana | Other | 16-02032 | |
| Montana | Other | 16-03682 | |
| Montana | Other | 1044141 |
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