Boonswang, Pricha
Boonswang, Pricha is an sole proprietor health care provider with primary practice located at 2358 Gruver Ave , Easton PA 18045-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Boonswang, Pricha can be contacted via phone (610) 252-2229.Contact Information
Primary practice address
2358 Gruver Ave
Easton PA 18045-2808
Phone: (610) 252-2229
Fax: (610) 252-8468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD033757L | Pennsylvania |
Profile Details
| NPI number | 1992782254 |
|---|---|
| LBN Legal business name | Boonswang, Pricha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Feb 24th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992782254 | NPPES |
| Other | 0050575000 | KHP EAST | |
| Other | 0990471 | KHP EAST | |
| MEDICAID | 4961200 | KHP EAST | |
| MEDICAID | 0006479210002 | KHP EAST |
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