Ploysangam, Tanusin
Ploysangam, Tanusin is an individual health care provider with primary practice located at 1010 4Th St Sw Ste 330, Mason City IA 50401-2857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ploysangam, Tanusin can be contacted via phone (641) 424-0402.Contact Information
Primary practice address
1010 4Th St Sw Ste 330
Mason City IA 50401-2857
Phone: (641) 424-0402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 37142 | Iowa |
Profile Details
| NPI number | 1588783385 |
|---|---|
| LBN Legal business name | Ploysangam, Tanusin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | May 12th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588783385 | NPPES |
| Iowa | Other | 37142 | IOWA LICENSE |
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