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
Phone: (253) 627-6128
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295716884 | NPPES |
Washington | MEDICAID | 8480097 | |
Washington | MEDICAID | 1314608 |
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