Wong, Jorge A

Wong, Jorge A is an individual health care provider with primary practice located at 730 Medical Center Dr , Newton KS 67114-8778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Wong, Jorge A can be contacted via phone (316) 283-1141.

Contact Information

Primary practice address
730 Medical Center Dr Newton KS 67114-8778
Phone: (316) 283-1141
Fax: (316) 283-1162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 0424770 Kansas

Profile Details

NPI number 1083678494
LBN Legal business name Wong, Jorge A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 7th, 2023 - 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 1083678494 NPPES
Kansas Other 0424770 KS LICENSE
Kansas MEDICAID 200578670A KS LICENSE
Kansas MEDICAID 100150390E KS LICENSE
Kansas MEDICAID 100150390A KS LICENSE

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