Ingkanisorn, Worakarn Victor
Ingkanisorn, Worakarn Victor is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ingkanisorn, Worakarn Victor can be contacted via phone (928) 639-5588.Contact Information
Primary practice address
269 S Candy Ln
Cottonwood AZ 86326-4158
Phone: (928) 639-5588
Fax: (928) 639-5589
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 37204 | Arizona |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 37204 | Arizona |
Profile Details
NPI number | 1669670972 |
---|---|
LBN Legal business name | Ingkanisorn, Worakarn Victor |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2007 |
Last updated | Jan 18th, 2021 - about 3 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 | 1669670972 | NPPES |
Arizona | MEDICAID | 301303 |
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