Pholvichitr, Brian

Pholvichitr, Brian is an individual health care provider with primary practice located at 3001 Saint Johns Blvd , Joplin MO 64804-1884. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Pholvichitr, Brian can be contacted via phone (417) 208-0805.

Contact Information

Primary practice address
3001 Saint Johns Blvd Joplin MO 64804-1884
Phone: (417) 208-0805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1528749900
LBN Legal business name Pholvichitr, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2023
Last updated Jul 27th, 2023 - about 3 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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