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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821032475 NPPES
California MEDICAID 00A927250

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