Wong, Roger Y

Wong, Roger Y is an individual health care provider with primary practice located at 16259 Sylvester Rd Sw Suite 501, Burien WA 98166-3049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wong, Roger Y can be contacted via phone (206) 242-2611.

Contact Information

Primary practice address
16259 Sylvester Rd Sw Suite 501 Burien WA 98166-3049
Fax: (206) 242-3640
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X OP00000713 Washington

Profile Details

NPI number 1962444885
LBN Legal business name Wong, Roger Y
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 23rd, 2009 - about 15 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 1962444885 NPPES
Washington MEDICAID 8292682
Washington Other P00673152

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