Songcharoen, Suthin

Songcharoen, Suthin is an individual health care provider with primary practice located at 2550 Flowood Dr #300, Flowood MS 39232-9303. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Songcharoen, Suthin can be contacted via phone (601) 420-0034.

Contact Information

Primary practice address
2550 Flowood Dr #300 Flowood MS 39232-9303
Fax: (601) 420-5482
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 07163 Mississippi

Profile Details

NPI number 1255329371
LBN Legal business name Songcharoen, Suthin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Aug 11th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255329371 NPPES
Other CK7048 MEDICARE RAILROAD GROUP
MEDICAID 00119405 MEDICARE RAILROAD GROUP
Other C03036 MEDICARE RAILROAD GROUP
Other 660002223 MEDICARE RAILROAD GROUP

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