Wong, Jason T

Wong, Jason T is an individual health care provider with primary practice located at 500 Harvard Street Se Unit J2-300, Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Wong, Jason T can be contacted via phone (612) 273-6004.

Contact Information

Primary practice address
500 Harvard Street Se Unit J2-300 Minneapolis MN 55455
Phone: (612) 273-6004
Fax: (612) 273-8459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 47826 Minnesota

Profile Details

NPI number 1134214307
LBN Legal business name Wong, Jason T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1134214307 NPPES
Montana MEDICAID 0144508
Montana MEDICAID 0594143
Montana Other 2366354
Montana Other 615T6WO
Montana MEDICAID 208670100
Montana Other 132919
Montana Other B632
Montana MEDICAID 34666400
Montana Other 238881
Montana Other HP52811
Montana Other 16-02032
Montana Other 16-03682
Montana Other 1044141

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