Nguyen, Chinh T
Nguyen, Chinh T is an sole proprietor health care provider with primary practice located at 87 W March Ln Suite 2, Stockton CA 95207-5731. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Nguyen, Chinh T can be contacted via phone (209) 952-4647.Contact Information
Primary practice address
87 W March Ln Suite 2
Stockton CA 95207-5731
Phone: (209) 952-4647
Fax: (209) 952-4636
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 11714T | California |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 11714T | California |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 11714T | California |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 11714T | California |
Profile Details
NPI number | 1306921986 |
---|---|
LBN Legal business name | Nguyen, Chinh T |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2006 |
Last updated | Mar 7th, 2023 - 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 | 1306921986 | NPPES |
California | Other | 11714T | CALIFORNIA LICENSE |
California | Other | P00737152 | CALIFORNIA LICENSE |
California | MEDICAID | 1306921986 | CALIFORNIA LICENSE |
California | MEDICAID | SD0117140 | CALIFORNIA LICENSE |
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