Le, Thu Van

Le, Thu Van is an individual health care provider with primary practice located at 1212 S 11Th St Suite 39, Tacoma WA 98405-4021. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Le, Thu Van can be contacted via phone (253) 627-6128.

Contact Information

Primary practice address
1212 S 11Th St Suite 39 Tacoma WA 98405-4021
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00021181 Washington

Profile Details

NPI number 1295716884
LBN Legal business name Le, Thu Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 12th, 2008 - about 16 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 1295716884 NPPES
Washington MEDICAID 8480097
Washington MEDICAID 1314608

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