Chauvapun, Joe Potchanard
Chauvapun, Joe Potchanard is an individual health care provider with primary practice located at 15030 7Th St , Victorville CA 92395-3811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Chauvapun, Joe Potchanard can be contacted via phone (760) 951-0065.Contact Information
Primary practice address
15030 7Th St
Victorville CA 92395-3811
Phone: (760) 951-0065
Fax: (760) 951-5382
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | A104925 | California |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A104925 | California |
Profile Details
NPI number | 1487842597 |
---|---|
LBN Legal business name | Chauvapun, Joe Potchanard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 15th, 2007 |
Last updated | Jan 17th, 2023 - about last year |
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 | 1487842597 | NPPES |
California | Other | M050376 | GROUP |
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