Subhasiriwat, Man
Subhasiriwat, Man is an individual health care provider with primary practice located at 1500 S Lake Park Ave , Hobart IN 46342-6638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Subhasiriwat, Man can be contacted via phone (219) 934-5300.Contact Information
Primary practice address
1500 S Lake Park Ave
Hobart IN 46342-6638
Phone: (219) 934-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01018059 | Indiana |
Profile Details
| NPI number | 1508819665 |
|---|---|
| LBN Legal business name | Subhasiriwat, Man |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Nov 7th, 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 | 1508819665 | NPPES |
| Indiana | MEDICAID | 100346680A |
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