Jonglertham, Pornchai

Jonglertham, Pornchai is an individual health care provider with primary practice located at 815 N Kansas Ave , Hastings NE 68901-4470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Jonglertham, Pornchai can be contacted via phone (402) 460-5899.

Contact Information

Primary practice address
815 N Kansas Ave Hastings NE 68901-4470
Phone: (402) 460-5899
Fax: (402) 460-5898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 15910 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X N0144 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 24180 Nebraska

Profile Details

NPI number 1265567242
LBN Legal business name Jonglertham, Pornchai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Sep 10th, 2018 - about 7 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 1265567242 NPPES
Nebraska Other 00195 BC/BS INDIVIDUAL NUMBER
Nebraska Other P00436187 BC/BS INDIVIDUAL NUMBER
Nebraska MEDICAID 195586603 BC/BS INDIVIDUAL NUMBER
Nebraska MEDICAID 195586601 BC/BS INDIVIDUAL NUMBER
Nebraska MEDICAID 195586602 BC/BS INDIVIDUAL NUMBER
Nebraska Other 252609 BC/BS INDIVIDUAL NUMBER

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