Tanawattanacharoen, Patcharin

Tanawattanacharoen, Patcharin is an individual health care provider with primary practice located at 2200 Craig Rd , Eau Claire WI 54701-2699. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Tanawattanacharoen, Patcharin can be contacted via phone (715) 858-6767.

Contact Information

Primary practice address
2200 Craig Rd Eau Claire WI 54701-2699
Phone: (715) 858-6767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42821 Wisconsin
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 42821 Wisconsin

Profile Details

NPI number 1942300272
LBN Legal business name Tanawattanacharoen, Patcharin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Feb 16th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942300272 NPPES
Wisconsin MEDICAID 34059600

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