Wong, Wilson

Wong, Wilson is an individual health care provider with primary practice located at 7 Shackleford West Blvd , Little Rock AR 72211-3714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wong, Wilson can be contacted via phone (501) 664-5860.

Contact Information

Primary practice address
7 Shackleford West Blvd Little Rock AR 72211-3714
Phone: (501) 664-5860
Fax: (501) 664-0889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E3348 Arkansas

Profile Details

NPI number 1588658983
LBN Legal business name Wong, Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Apr 3rd, 2012 - about 12 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 1588658983 NPPES
Arkansas MEDICAID 146458001

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