Li, Weiguo Victor

Li, Weiguo Victor is an sole proprietor health care provider with primary practice located at 625 Clark Ave Ste 17A , King Of Prussia PA 19406-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Li, Weiguo Victor can be contacted via phone (610) 768-7168.

Contact Information

Primary practice address
625 Clark Ave Ste 17A King Of Prussia PA 19406-1438
Fax: (610) 768-7169
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD432040 Pennsylvania

Profile Details

NPI number 1295931038
LBN Legal business name Li, Weiguo Victor
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Apr 5th, 2014 - 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 1295931038 NPPES
Pennsylvania MEDICAID 101963965

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