Thephasdin, Jiroj
Thephasdin, Jiroj is an sole proprietor health care provider with primary practice located at 8695 Connecticut St Ste D , Merrillville IN 46410-6240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Thephasdin, Jiroj can be contacted via phone (219) 769-3812.Contact Information
Primary practice address
8695 Connecticut St Ste D
Merrillville IN 46410-6240
Phone: (219) 769-3812
Fax: (219) 736-5341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 01026596A | Indiana |
Profile Details
| NPI number | 1346378254 |
|---|---|
| LBN Legal business name | Thephasdin, Jiroj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| 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 | 1346378254 | NPPES |
| Illinois | Other | 0091108085 | BCBS OF ILLINOIS |
| Illinois | Other | 306516 | BCBS OF ILLINOIS |
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