Wong, Jack K

Wong, Jack K is an individual health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Wong, Jack K can be contacted via phone (541) 773-3863.

Contact Information

Primary practice address
19 Myrtle St Medford OR 97504-7337
Phone: (541) 773-3863
Fax: (541) 776-2892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C50860 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD23319 Oregon
Allopathic & Osteopathic Physicians / General Practice 208D00000X 34719 Arizona

Profile Details

NPI number 1790725539
LBN Legal business name Wong, Jack K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 10th, 2014 - about 12 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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