Individual
MR. BENJAMIN BOONCHAI APICHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EAMP
Contact information
Practice address
12025 LAKE CITY WAY NE STE B, SEATTLE, WA 98125-5331
(206) 289-0303
Mailing address
11345 30TH AVE NE, SEATTLE, WA 98125-6858
(206) 289-0303
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 381
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548AP
BLUE SHIELD # VM
WA
01
—
US5069591
AETNA PCP PIN VM
WA
Enumeration date
02/05/2007
Last updated
05/17/2018
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