Pham, Quyen Ngoc
Pham, Quyen Ngoc is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Pham, Quyen Ngoc can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
280 Exempla Cir
Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TL3372 | Colorado |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 054288 | Colorado |
Profile Details
| NPI number | 1114154903 |
|---|---|
| LBN Legal business name | Pham, Quyen Ngoc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Apr 22nd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114154903 | NPPES |
| Colorado | MEDICAID | 09033017 | |
| Colorado | Other | 024982 |
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