Tanawattanacharoen, Somsak

Tanawattanacharoen, Somsak is an individual health care provider with primary practice located at 2116 Craig Rd , Eau Claire WI 54701-6149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Tanawattanacharoen, Somsak can be contacted via phone (715) 858-4500.

Contact Information

Primary practice address
2116 Craig Rd Eau Claire WI 54701-6149
Phone: (715) 858-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42822 Wisconsin
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 42822 Wisconsin

Profile Details

NPI number 1851487888
LBN Legal business name Tanawattanacharoen, Somsak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851487888 NPPES
Wisconsin MEDICAID 34059700

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