Rattanasamphan, Worawan
Rattanasamphan, Worawan is an individual health care provider with primary practice located at 1750 112Th Ave Ne Suite A-101, Bellevue WA 98004-3752. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rattanasamphan, Worawan can be contacted via phone (425) 688-5234.Contact Information
Primary practice address
1750 112Th Ave Ne Suite A-101
Bellevue WA 98004-3752
Phone: (425) 688-5234
Fax: (425) 688-5756
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD00045055 | Washington |
Profile Details
NPI number | 1073574471 |
---|---|
LBN Legal business name | Rattanasamphan, Worawan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | Mar 7th, 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 | 1073574471 | NPPES |
Washington | Other | 1073574471 | NPI |
Washington | Other | MD00045055 | NPI |
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