Boonpongmanee, Somprak
Boonpongmanee, Somprak is an individual health care provider with primary practice located at 8819 W. Victoria Ave , Kennewick WA 99336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Boonpongmanee, Somprak can be contacted via phone (509) 460-5500.Contact Information
Primary practice address
8819 W. Victoria Ave
Kennewick WA 99336
Phone: (509) 460-5500
Fax: (509) 460-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00042206 | Washington |
Profile Details
| NPI number | 1528139359 |
|---|---|
| LBN Legal business name | Boonpongmanee, Somprak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jun 5th, 2015 - about 10 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 | 1528139359 | NPPES |
| Washington | MEDICAID | 8354037 | |
| Washington | Other | 0207386 | |
| Washington | Other | P00289575 |
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