Nguyen, Bao Q
Nguyen, Bao Q is an sole proprietor health care provider with primary practice located at 2333 W March Ln # A2, Stockton CA 95207-5263. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nguyen, Bao Q can be contacted via phone (209) 475-8144.Contact Information
Primary practice address
2333 W March Ln # A2
Stockton CA 95207-5263
Phone: (209) 475-8144
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A92725 | California |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A92725 | California |
Profile Details
NPI number | 1821032475 |
---|---|
LBN Legal business name | Nguyen, Bao Q |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 15th, 2006 |
Last updated | Apr 20th, 2022 - about 2 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 | 1821032475 | NPPES |
California | MEDICAID | 00A927250 |
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