Pham, Thao Phuong
Pham, Thao Phuong is an individual health care provider with primary practice located at 15717 15 Mile Rd , Clinton Twp MI 48035-2101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pham, Thao Phuong can be contacted via phone (586) 285-3800.Contact Information
Primary practice address
15717 15 Mile Rd
Clinton Twp MI 48035-2101
Phone: (586) 285-3800
Fax: (586) 285-3818
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101014259 | Michigan |
Profile Details
NPI number | 1093767683 |
---|---|
LBN Legal business name | Pham, Thao Phuong |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Mar 18th, 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 | 1093767683 | NPPES |
Michigan | Other | 1022812 | MHP HAN INDIVIDUAL |
Michigan | MEDICAID | 4474588 | MHP HAN INDIVIDUAL |
Michigan | MEDICAID | 4963661 | MHP HAN INDIVIDUAL |
Michigan | Other | 700E012740 | MHP HAN INDIVIDUAL |
Michigan | Other | 1022851 | MHP HAN INDIVIDUAL |
Michigan | Other | 080D410020 | MHP HAN INDIVIDUAL |
Michigan | MEDICAID | 4474579 | MHP HAN INDIVIDUAL |
Michigan | MEDICAID | 4474597 | MHP HAN INDIVIDUAL |
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