Wong, Mankwan T

Wong, Mankwan T is an sole proprietor health care provider with primary practice located at 1750 Kalakaua Ave Ste 108 , Honolulu HI 96826-3700. He recently has 2 registered licenses in different health care specialties including Suppliers / Non-Pharmacy Dispensing Site, Other Service Providers / Legal Medicine. Other Service Providers / Legal Medicine is his primary health care specialty. Wong, Mankwan T can be contacted via phone (808) 942-8727.

Contact Information

Primary practice address
1750 Kalakaua Ave Ste 108 Honolulu HI 96826-3700
Fax: (808) 948-9649
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 11859 Hawaii
Other Service Providers / Legal Medicine 173000000X 11859 Hawaii

Profile Details

NPI number 1477741726
LBN Legal business name Wong, Mankwan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Nov 3rd, 2017 - about 7 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 1477741726 NPPES
Hawaii Other B0235800 HMSA
Hawaii MEDICAID 50787402 HMSA

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