Mengnjo, Austine Y.

Mengnjo, Austine Y. is an individual health care provider with primary practice located at 1030 Reed Avenue Suite 114, Wyomissing PA 19610-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mengnjo, Austine Y. can be contacted via phone (610) 376-7365.

Contact Information

Primary practice address
1030 Reed Avenue Suite 114 Wyomissing PA 19610-2029
Phone: (610) 376-7365
Fax: (610) 376-1320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD443487 Pennsylvania

Profile Details

NPI number 1770712945
LBN Legal business name Mengnjo, Austine Y.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Jan 18th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770712945 NPPES
Pennsylvania MEDICAID 1026546140002

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