Chanthinouvong, Soupha

Chanthinouvong, Soupha is an individual health care provider with primary practice located at 812 Avis Dr , Ann Arbor MI 48108-9649. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Chanthinouvong, Soupha can be contacted via phone (734) 213-3960.

Contact Information

Primary practice address
812 Avis Dr Ann Arbor MI 48108-9649
Phone: (734) 213-3960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1447671078
LBN Legal business name Chanthinouvong, Soupha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2013
Last updated Dec 27th, 2013 - about 12 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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