Pakpreo, Ponrat

Pakpreo, Ponrat is an individual health care provider with primary practice located at 16528 E Desmet Ct Ste B-1000 , Spokane Valley WA 99216-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Pakpreo, Ponrat can be contacted via phone (509) 944-8860.

Contact Information

Primary practice address
16528 E Desmet Ct Ste B-1000 Spokane Valley WA 99216-3522
Fax: (509) 944-8856
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 224294 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00047151 Washington
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 224294 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD00047151 Washington

Profile Details

NPI number 1023050200
LBN Legal business name Pakpreo, Ponrat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 13th, 2023 - about 2 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 1023050200 NPPES
Washington MEDICAID 8468340
Washington MEDICAID 02689641
Washington Other AB32999

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