Wong, Nathan A

Wong, Nathan A is an individual health care provider with primary practice located at 94-1480 Moaniani St , Waipahu HI 96797-4632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wong, Nathan A can be contacted via phone (808) 432-3100.

Contact Information

Primary practice address
94-1480 Moaniani St Waipahu HI 96797-4632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-2899 Hawaii

Profile Details

NPI number 1114073277
LBN Legal business name Wong, Nathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Oct 19th, 2007 - about 18 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 1114073277 NPPES
Hawaii MEDICAID 040919-02

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