Provider Demographics
NPI:1932320538
Name:WONG, WILLIAM K (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
Last Name:WONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:21616 76TH AVE
Mailing Address - Street 2:SUITE #102
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026
Mailing Address - Country:US
Mailing Address - Phone:425-774-1538
Mailing Address - Fax:301-927-9406
Practice Address - Street 1:6510 KENILWORTH AVENUE
Practice Address - Street 2:SUITE 1200
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737
Practice Address - Country:US
Practice Address - Phone:301-927-2933
Practice Address - Fax:301-927-9406
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDS01955111NR0400X
WACH00034525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation