Mingbunjerdsuk, Thammasak

Mingbunjerdsuk, Thammasak is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Mingbunjerdsuk, Thammasak can be contacted via phone (360) 414-2000.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2367
Phone: (360) 414-2000
Fax: (360) 414-7638
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD61202611 Washington

Profile Details

NPI number 1720439490
LBN Legal business name Mingbunjerdsuk, Thammasak
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Apr 27th, 2022 - about 4 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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