Jirasut, Dumrong

Jirasut, Dumrong is an individual health care provider with primary practice located at 75 W March Lane Suite H, Stockton CA 95207-5729. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Jirasut, Dumrong can be contacted via phone (209) 477-4485.

Contact Information

Primary practice address
75 W March Lane Suite H Stockton CA 95207-5729
Phone: (209) 477-4485
Fax: (209) 477-4487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A41741 California

Profile Details

NPI number 1932214517
LBN Legal business name Jirasut, Dumrong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1932214517 NPPES
California MEDICAID 00A417410

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