Wattanasuwan, Norrapol

Wattanasuwan, Norrapol is an individual health care provider with primary practice located at 1203 Jefferson St , Laurel MS 39440-4354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wattanasuwan, Norrapol can be contacted via phone (601) 649-2863.

Contact Information

Primary practice address
1203 Jefferson St Laurel MS 39440-4354
Phone: (601) 649-2863
Fax: (601) 649-9479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 18611 Mississippi
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18611 Mississippi

Profile Details

NPI number 1508801366
LBN Legal business name Wattanasuwan, Norrapol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 30th, 2020 - about 5 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 1508801366 NPPES
Mississippi MEDICAID 07708391
Mississippi Other 731-05467
Mississippi Other P00220397

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