Jarukitsopa, Sudumpai

Jarukitsopa, Sudumpai is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Jarukitsopa, Sudumpai can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5062 Hawaii
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 104424 Minnesota
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 52252 Minnesota

Profile Details

NPI number 1336340363
LBN Legal business name Jarukitsopa, Sudumpai
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Mar 16th, 2011 - about 15 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 1336340363 NPPES
Minnesota Other P00888783 RAILROAD MEDICARE
Minnesota MEDICAID ENROLLED RAILROAD MEDICARE
Minnesota MEDICAID ENROLLED RAILROAD MEDICARE

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