Moolsintong, Pornchai

Moolsintong, Pornchai is an individual health care provider with primary practice located at 6420 Clayton Rd , Saint Louis MO 63117-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moolsintong, Pornchai can be contacted via phone (314) 768-8250.

Contact Information

Primary practice address
6420 Clayton Rd Saint Louis MO 63117-1811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35177 Missouri

Profile Details

NPI number 1023083201
LBN Legal business name Moolsintong, Pornchai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023083201 NPPES
Missouri Other 102590 BLUE CROSS BLUE SHIELD

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