Lucktong, Ekachai
Lucktong, Ekachai is an individual health care provider with primary practice located at 3101 Latrobe Dr , Charlotte NC 28211-4849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Lucktong, Ekachai can be contacted via phone (704) 376-7362.Contact Information
Primary practice address
3101 Latrobe Dr
Charlotte NC 28211-4849
Phone: (704) 376-7362
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 200000880 | North Carolina |
Profile Details
| NPI number | 1801829379 |
|---|---|
| LBN Legal business name | Lucktong, Ekachai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1801829379 | NPPES |
| North Carolina | MEDICAID | 89127A5 | |
| North Carolina | MEDICAID | N00880 |
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