Isariyawongse, Justin Prakorb
Isariyawongse, Justin Prakorb is an sole proprietor health care provider with primary practice located at 2580 Haymaker Rd Suite 401, Monroeville PA 15146-3518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Isariyawongse, Justin Prakorb can be contacted via phone (412) 372-6330.Contact Information
Primary practice address
2580 Haymaker Rd Suite 401
Monroeville PA 15146-3518
Phone: (412) 372-6330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 57.010506 | Ohio |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD448991 | Pennsylvania |
Profile Details
| NPI number | 1053524769 |
|---|---|
| LBN Legal business name | Isariyawongse, Justin Prakorb |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 10th, 2013 - about 11 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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