Wong, Carson
Wong, Carson is an sole proprietor health care provider with primary practice located at 400 Matthew St Ste 303 , Marietta OH 45750-1656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wong, Carson can be contacted via phone (740) 373-7828.Contact Information
Primary practice address
400 Matthew St Ste 303
Marietta OH 45750-1656
Phone: (740) 373-7828
Fax: (740) 373-5898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 23694 | Oklahoma |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35052657 | Ohio |
Profile Details
| NPI number | 1669440814 |
|---|---|
| LBN Legal business name | Wong, Carson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2006 |
| Last updated | Jul 15th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669440814 | NPPES |
| Ohio | MEDICAID | 3154616 |
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