Dinh, Duy-Bao Phan
Dinh, Duy-Bao Phan is an sole proprietor health care provider with primary practice located at 6810 S Juniper Dr , Oak Creek WI 53154-1631. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dinh, Duy-Bao Phan can be contacted via phone (703) 509-4768.Contact Information
Primary practice address
6810 S Juniper Dr
Oak Creek WI 53154-1631
Phone: (703) 509-4768
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 63713-20 | Wisconsin |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MT200134 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 63713-20 | Wisconsin |
Profile Details
| NPI number | 1326334186 |
|---|---|
| LBN Legal business name | Dinh, Duy-Bao Phan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2011 |
| Last updated | Dec 27th, 2021 - 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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