Suthumphong, Corey
Suthumphong, Corey is an sole proprietor health care provider with primary practice located at 44405 Woodward Ave , Pontiac MI 48341-5023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Suthumphong, Corey can be contacted via phone (248) 858-3234.Contact Information
Primary practice address
44405 Woodward Ave
Pontiac MI 48341-5023
Phone: (248) 858-3234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4351049966 | Michigan |
Profile Details
| NPI number | 1598404949 |
|---|---|
| LBN Legal business name | Suthumphong, Corey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2022 |
| Last updated | Jun 2nd, 2022 - about 3 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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