Wong, Shirley

Wong, Shirley is an sole proprietor health care provider with primary practice located at 1060 Emeline Ave , Santa Cruz CA 95060-1966. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Wong, Shirley can be contacted via phone (831) 454-4339.

Contact Information

Primary practice address
1060 Emeline Ave Santa Cruz CA 95060-1966
Phone: (831) 454-4339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 95086409 California

Profile Details

NPI number 1609303049
LBN Legal business name Wong, Shirley
Credentials BSN, RN, PHN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2017
Last updated May 16th, 2017 - about 8 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 1609303049 NPPES
California Other 70042F CA FQHC 70042F CA FQHC

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