Sangchompuphen, Tony
Sangchompuphen, Tony is an individual health care provider with primary practice located at 2045 N Franklin St , Denver CO 80205-5437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sangchompuphen, Tony can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
2045 N Franklin St
Denver CO 80205-5437
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35081743 | Ohio |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2006002250 | Missouri |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 47326 | Colorado |
Profile Details
NPI number | 1104826916 |
---|---|
LBN Legal business name | Sangchompuphen, Tony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2005 |
Last updated | Apr 20th, 2021 - about 4 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 | 1104826916 | NPPES |
Ohio | MEDICAID | 2401056 | |
Ohio | MEDICAID | 64063977 | |
Ohio | MEDICAID | 26457733 | |
Ohio | Other | 019469 | |
Ohio | Other | 300136030 | |
Ohio | Other | P00202433 |
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