Sandaeng, Somlak
Sandaeng, Somlak is an individual health care provider with primary practice located at 1214 Route 37 E , Toms River NJ 08753-5752. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Sandaeng, Somlak can be contacted via phone (732) 270-8424.Contact Information
Primary practice address
1214 Route 37 E
Toms River NJ 08753-5752
Phone: (732) 270-8424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 18KT0122340 | New Jersey |
Profile Details
| NPI number | 1487205548 |
|---|---|
| LBN Legal business name | Sandaeng, Somlak |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2019 |
| Last updated | Sep 20th, 2019 - about 6 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 | 1487205548 | NPPES |
| New Jersey | Other | 81-4580365 | OPTOM |
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