Banchuin, Thongdang
Banchuin, Thongdang is an individual health care provider with primary practice located at 280 Virginia Ave Ne Suite 102, Norton VA 24273-1538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Banchuin, Thongdang can be contacted via phone (276) 679-0818.Contact Information
Primary practice address
280 Virginia Ave Ne Suite 102
Norton VA 24273-1538
Phone: (276) 679-0818
Fax: (276) 679-0817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101029458 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101029458 | Virginia |
Profile Details
| NPI number | 1447357694 |
|---|---|
| LBN Legal business name | Banchuin, Thongdang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 27th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447357694 | NPPES |
| Virginia | MEDICAID | 010041660 |
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