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
Phone: (314) 768-8250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023083201 | NPPES |
| Missouri | Other | 102590 | BLUE CROSS BLUE SHIELD |
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