Vijitbenjaronk, Prasert
Vijitbenjaronk, Prasert is an individual health care provider with primary practice located at 3900 St Francis Way Ste 200 , Lafayette IN 47905-4940. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Vijitbenjaronk, Prasert can be contacted via phone (765) 775-2800.Contact Information
Primary practice address
3900 St Francis Way Ste 200
Lafayette IN 47905-4940
Phone: (765) 775-2800
Fax: (765) 775-2831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2004009714 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2004009714 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01090864A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01090864A | Indiana |
Profile Details
| NPI number | 1124002951 |
|---|---|
| LBN Legal business name | Vijitbenjaronk, Prasert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Apr 9th, 2024 - about 8 months 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 | 1124002951 | NPPES |
| Missouri | Other | 653949 | HEALTHLINK |
| Missouri | MEDICAID | 155765001 | HEALTHLINK |
| Missouri | Other | 126814 | HEALTHLINK |
| Missouri | Other | P00244271 | HEALTHLINK |
| Missouri | MEDICAID | 207663907 | HEALTHLINK |
| Missouri | Other | 250766 | HEALTHLINK |
| Missouri | Other | 190900 | HEALTHLINK |
| Missouri | MEDICAID | 155783001 | HEALTHLINK |
| Missouri | Other | 190900 | HEALTHLINK |
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