Wong, Brian Stephen

Wong, Brian Stephen is an individual health care provider with primary practice located at 3906 S Dupont Sq , Louisville KY 40207-4647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Wong, Brian Stephen can be contacted via phone (812) 282-3899.

Contact Information

Primary practice address
3906 S Dupont Sq Louisville KY 40207-4647
Phone: (812) 282-3899
Fax: (812) 282-4172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01094584A Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 59042 Kentucky

Profile Details

NPI number 1457855413
LBN Legal business name Wong, Brian Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2018
Last updated Aug 27th, 2024 - about 2 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 1457855413 NPPES
Kentucky MEDICAID 7100969980
Kentucky Other K0009669

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