Wong, Larry T
Wong, Larry T is an individual health care provider with primary practice located at 502 N Macarthur Ave Suite C, Panama City FL 32401-3636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wong, Larry T can be contacted via phone (850) 215-1080.Contact Information
Primary practice address
502 N Macarthur Ave Suite C
Panama City FL 32401-3636
Phone: (850) 215-1080
Fax: (850) 215-1086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OS9154 | Florida |
Profile Details
| NPI number | 1689641599 |
|---|---|
| LBN Legal business name | Wong, Larry T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 23rd, 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 | 1689641599 | NPPES |
| Florida | Other | 48027 | BLUE CROSS |
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