Ratanawongsa, Boonlua
Ratanawongsa, Boonlua is an sole proprietor health care provider with primary practice located at 2223 W State St Suite 107, Olean NY 14760-1938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ratanawongsa, Boonlua can be contacted via phone (716) 373-0444.Contact Information
Primary practice address
2223 W State St Suite 107
Olean NY 14760-1938
Phone: (716) 373-0444
Fax: (716) 373-5031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 118639-1 | New York |
Profile Details
| NPI number | 1619047917 |
|---|---|
| LBN Legal business name | Ratanawongsa, Boonlua |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Mar 4th, 2008 - about 16 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 | 1619047917 | NPPES |
| New York | MEDICAID | 00590010 |
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