Rouse Wong, Elizabeth

Rouse Wong, Elizabeth is an individual health care provider with primary practice located at 5100 Outer Loop , Louisville KY 40219-4056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rouse Wong, Elizabeth can be contacted via phone (502) 968-6226.

Contact Information

Primary practice address
5100 Outer Loop Louisville KY 40219-4056
Phone: (502) 968-6226
Fax: (502) 966-5567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27435 Kentucky

Profile Details

NPI number 1891799847
LBN Legal business name Rouse Wong, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Mar 21st, 2018 - 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 1891799847 NPPES
Kentucky MEDICAID 64274350
Kentucky Other 076693
Kentucky Other P00386070
Kentucky Other 000000479493
Kentucky Other 283734000
Kentucky Other 50014617

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