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
Phone: (509) 944-8860
Fax: (509) 944-8856
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023050200 | NPPES |
Washington | MEDICAID | 8468340 | |
Washington | MEDICAID | 02689641 | |
Washington | Other | AB32999 |
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