Nikom Wannarachue, M.D., Inc. P.S.

LBN: Nikom Wannarachue, M.D., Inc. P.S.
Nikom Wannarachue, M.D., Inc. P.S. is an health care organization with primary practice located at 721 S Auburn St , Kennewick WA 99336-5665. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Nikom Wannarachue, M.D., Inc. P.S. can be contacted via phone (509) 586-1157, or through Wannarachue, Nikom via phone (509) 586-1157.

Contact Information

Primary practice address
721 S Auburn St Kennewick WA 99336-5665
Phone: (509) 586-1157
Fax: (509) 582-4189
Website:
Map and Directions
Authorized official contact:
Name: Wannarachue, Nikom Doctor of Medicine (MD)
Phone: (509) 586-1157

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1336256692
LBN Legal business name Nikom Wannarachue, M.D., Inc. P.S.
DBA Doing business as
Authorized official Wannarachue, Nikom Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated May 10th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336256692 NPPES
Washington MEDICAID 7108723

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