Wong, Humphrey

Wong, Humphrey is an individual health care provider with primary practice located at 1801 E 54Th St Ste 100, Davenport IA 52807-7209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Wong, Humphrey can be contacted via phone (563) 323-1229.

Contact Information

Primary practice address
1801 E 54Th St Ste 100 Davenport IA 52807-7209
Phone: (563) 323-1229
Fax: (563) 323-8240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036093604 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 31235 Iowa
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 31235 Iowa

Profile Details

NPI number 1013982610
LBN Legal business name Wong, Humphrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013982610 NPPES
Iowa MEDICAID 0138024
Iowa Other 290008119
Iowa Other 290010030

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