Nguyen, Ethan N

Nguyen, Ethan N is an individual health care provider with primary practice located at 2755 Herndon Ave , Clovis CA 93611-6800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nguyen, Ethan N can be contacted via phone (559) 324-4000.

Contact Information

Primary practice address
2755 Herndon Ave Clovis CA 93611-6800
Phone: (559) 324-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A94286 California

Profile Details

NPI number 1902072424
LBN Legal business name Nguyen, Ethan N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated Apr 17th, 2014 - about 10 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 1902072424 NPPES
California MEDICAID 1902072424

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