Chanthaboury, Souk

Chanthaboury, Souk is an individual health care provider with primary practice located at Psc 112 , Apo AE 09717-9998. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Chanthaboury, Souk can be contacted via phone 0031413335950.

Contact Information

Primary practice address
Psc 112 Apo AE 09717-9998
Phone: 0031413335950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1750516977
LBN Legal business name Chanthaboury, Souk
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated May 4th, 2010 - about 14 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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