Wong, Michael Walter

Wong, Michael Walter is an individual health care provider with primary practice located at 2057 State Route 130 , Jeannette PA 15644-3801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wong, Michael Walter can be contacted via phone (724) 527-2700.

Contact Information

Primary practice address
2057 State Route 130 Jeannette PA 15644-3801
Phone: (724) 527-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS020084 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OS020084 Pennsylvania

Profile Details

NPI number 1184002537
LBN Legal business name Wong, Michael Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated Feb 8th, 2023 - about 2 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 1184002537 NPPES
Pennsylvania MEDICAID 83-2650420

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