Hompluem, Uraiwan Tana
Hompluem, Uraiwan Tana is an individual health care provider with primary practice located at 2 Terminal Dr Suite 8, East Alton IL 62024-2268. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hompluem, Uraiwan Tana can be contacted via phone (618) 259-1419.Contact Information
Primary practice address
2 Terminal Dr Suite 8
East Alton IL 62024-2268
Phone: (618) 259-1419
Fax: (618) 259-1502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036067508 | Illinois |
Profile Details
| NPI number | 1477619278 |
|---|---|
| LBN Legal business name | Hompluem, Uraiwan Tana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Apr 25th, 2016 - about 8 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 | 1477619278 | NPPES |
| Illinois | MEDICAID | 036067508 |
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