Duffy, Thomas Vincent Phung

Duffy, Thomas Vincent Phung is an individual health care provider with primary practice located at 717 W. Railroad Ave. , Shelton WA 98584. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Duffy, Thomas Vincent Phung can be contacted via phone (360) 426-1664.

Contact Information

Primary practice address
717 W. Railroad Ave. Shelton WA 98584
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60477489 Washington
Dental Providers / General Practice 1223G0001X DE60477489 Washington

Profile Details

NPI number 1639572977
LBN Legal business name Duffy, Thomas Vincent Phung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2014
Last updated Oct 1st, 2014 - about 11 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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