Nguyen, Bach Van
Nguyen, Bach Van is an sole proprietor health care provider with primary practice located at 828 Snyder Ave , Philadelphia PA 19148-2310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nguyen, Bach Van can be contacted via phone (215) 755-8220.Contact Information
Primary practice address
828 Snyder Ave
Philadelphia PA 19148-2310
Phone: (215) 755-8220
Fax: (215) 755-8692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-039485L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-039485L | Pennsylvania |
Profile Details
| NPI number | 1114923869 |
|---|---|
| LBN Legal business name | Nguyen, Bach Van |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Mar 22nd, 2016 - about 8 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 | 1114923869 | NPPES |
| Pennsylvania | MEDICAID | 001123542-0003 | |
| Pennsylvania | Other | 001123542 |
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