Suphol, Anocha
Suphol, Anocha is an individual health care provider with primary practice located at 4444 Magnolia Ave , Riverside CA 92501-4136. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Suphol, Anocha can be contacted via phone (951) 274-3524.Contact Information
Primary practice address
4444 Magnolia Ave
Riverside CA 92501-4136
Phone: (951) 274-3524
Fax: (951) 274-3442
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT27871 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT27871 | California |
Profile Details
NPI number | 1003031899 |
---|---|
LBN Legal business name | Suphol, Anocha |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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