Le, Phung Ngoc
Le, Phung Ngoc is an individual health care provider with primary practice located at 1001 Willow Creek Road Ste. 1200, Prescott AZ 86301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Le, Phung Ngoc can be contacted via phone (928) 458-2850.Contact Information
Primary practice address
1001 Willow Creek Road Ste. 1200
Prescott AZ 86301
Phone: (928) 458-2850
Fax: (928) 458-2848
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 1932424066 | Arizona |
Profile Details
NPI number | 1932424066 |
---|---|
LBN Legal business name | Le, Phung Ngoc |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2010 |
Last updated | Nov 18th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932424066 | NPPES |
Arizona | MEDICAID | 286413 |
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