Vongviphut, Don

Vongviphut, Don is an individual health care provider with primary practice located at 3458 Neely Rd Flight Medicine Clinic, Joint Base Mcguire-Dix-Lakehurst NJ 08641. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Vongviphut, Don can be contacted via phone (609) 754-9080.

Contact Information

Primary practice address
3458 Neely Rd Flight Medicine Clinic Joint Base Mcguire-Dix-Lakehurst NJ 08641
Phone: (609) 754-9080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 02005485A Indiana

Profile Details

NPI number 1003356684
LBN Legal business name Vongviphut, Don
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2017
Last updated Mar 29th, 2019 - about 7 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 1003356684 NPPES
Indiana Other 02005485A INDIANA STATE MEDICAL LICENSE

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