Nguyen, Dan Phuong T
Nguyen, Dan Phuong T is an individual health care provider with primary practice located at 2110 Dorchester Ave Suite 306, Dorchester MA 02124-5628. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Nguyen, Dan Phuong T can be contacted via phone (617) 296-1828.Contact Information
Primary practice address
2110 Dorchester Ave Suite 306
Dorchester MA 02124-5628
Phone: (617) 296-1828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT5137 | Massachusetts |
Profile Details
| NPI number | 1245692722 |
|---|---|
| LBN Legal business name | Nguyen, Dan Phuong T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2016 |
| Last updated | Dec 11th, 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 | 1245692722 | NPPES |
| Massachusetts | MEDICAID | 110128327A |
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