Ratts, Manichanh John
Ratts, Manichanh John is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ratts, Manichanh John can be contacted via phone (509) 765-5606.Contact Information
Primary practice address
801 E Wheeler Rd
Moses Lake WA 98837
Phone: (509) 765-5606
Fax: (509) 764-3244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA60197218 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 53707 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60197218 | Washington |
Profile Details
| NPI number | 1376845206 |
|---|---|
| LBN Legal business name | Ratts, Manichanh John |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2010 |
| Last updated | Nov 29th, 2019 - about 5 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 | 1376845206 | NPPES |
| Washington | MEDICAID | 2010106 |
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