Suttiratana, Pimpa
Suttiratana, Pimpa is an individual health care provider with primary practice located at Hc68 Box 1000 Suite 3 Community Health Foundation Of Logan, Logan WV 25601-9620. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Suttiratana, Pimpa can be contacted via phone (304) 239-3888.Contact Information
Primary practice address
Hc68 Box 1000 Suite 3 Community Health Foundation Of Logan
Logan WV 25601-9620
Phone: (304) 239-3888
Fax: (304) 239-3811
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 12253 | West Virginia |
Profile Details
NPI number | 1881650026 |
---|---|
LBN Legal business name | Suttiratana, Pimpa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1881650026 | NPPES |
West Virginia | MEDICAID | 0094391000 |
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