Phatharacharukul, Parkpoom
Phatharacharukul, Parkpoom is an sole proprietor health care provider with primary practice located at 6500 Excelsior Blvd , St Louis Park MN 55426-4702. 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. Phatharacharukul, Parkpoom can be contacted via phone (952) 993-3240.Contact Information
Primary practice address
6500 Excelsior Blvd
St Louis Park MN 55426-4702
Phone: (952) 993-3240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 11709 | South Dakota |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 72751 | Minnesota |
Profile Details
| NPI number | 1205254547 |
|---|---|
| LBN Legal business name | Phatharacharukul, Parkpoom |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2014 |
| Last updated | Oct 20th, 2023 - about 3 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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