Ingkanisorn, Worakarn Victor

Ingkanisorn, Worakarn Victor is an individual health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326-4158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ingkanisorn, Worakarn Victor can be contacted via phone (928) 639-5588.

Contact Information

Primary practice address
269 S Candy Ln Cottonwood AZ 86326-4158
Phone: (928) 639-5588
Fax: (928) 639-5589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37204 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 37204 Arizona

Profile Details

NPI number 1669670972
LBN Legal business name Ingkanisorn, Worakarn Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2007
Last updated Jan 18th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669670972 NPPES
Arizona MEDICAID 301303

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