Nguyen, Johnathan Quan Ba

Nguyen, Johnathan Quan Ba is an individual health care provider with primary practice located at 3883 Airway Dr Ste 202 , Santa Rosa CA 95403-1671. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nguyen, Johnathan Quan Ba can be contacted via phone (707) 526-3360.

Contact Information

Primary practice address
3883 Airway Dr Ste 202 Santa Rosa CA 95403-1671
Phone: (707) 526-3360
Fax: (707) 573-5406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1169412 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A161013 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A161013 California

Profile Details

NPI number 1689020083
LBN Legal business name Nguyen, Johnathan Quan Ba
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2016
Last updated Aug 23rd, 2022 - about 3 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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