Padavong, Phouthasone

Padavong, Phouthasone is an sole proprietor health care provider with primary practice located at 1 Jarrett White Rd , Tripler Army Medical Center HI 96859-5001. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric, which is considered as his primary health care specialty. Padavong, Phouthasone can be contacted via phone (808) 433-4777.

Contact Information

Primary practice address
1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001
Phone: (808) 433-4777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric 211D00000X

Profile Details

NPI number 1760821649
LBN Legal business name Padavong, Phouthasone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2013
Last updated Jun 24th, 2013 - about 12 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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