Nguyen, Phuc Van
Nguyen, Phuc Van is an individual health care provider with primary practice located at 650 E Santa Clara Street , San Jose CA 95112-1903. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nguyen, Phuc Van can be contacted via phone (408) 288-9033.Contact Information
Primary practice address
650 E Santa Clara Street
San Jose CA 95112-1903
Phone: (408) 288-9033
Fax: (408) 288-9034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30274 | California |
Profile Details
| NPI number | 1972548998 |
|---|---|
| LBN Legal business name | Nguyen, Phuc Van |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972548998 | NPPES |
| California | MEDICAID | B30274 |
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