Wong, Susan S
Wong, Susan S is an individual health care provider with primary practice located at 428 S Gilbert Rd Ste 115 , Gilbert AZ 85296-2262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Wong, Susan S can be contacted via phone (480) 507-2961.Contact Information
Primary practice address
428 S Gilbert Rd Ste 115
Gilbert AZ 85296-2262
Phone: (480) 507-2961
Fax: (480) 507-2971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A66888 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 33088 | Arizona |
Profile Details
| NPI number | 1760440085 |
|---|---|
| LBN Legal business name | Wong, Susan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jun 30th, 2015 - about 9 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 | 1760440085 | NPPES |
| Arizona | MEDICAID | 893538 | |
| Arizona | Other | P00195744 | |
| Arizona | MEDICAID | 00A668880 |
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