Pham, Tony

Pham, Tony is an individual health care provider with primary practice located at 2250 E Washington St , East Peoria IL 61611-3021. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Pham, Tony can be contacted via phone (309) 643-1112.

Contact Information

Primary practice address
2250 E Washington St East Peoria IL 61611-3021
Phone: (309) 643-1112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1134721962
LBN Legal business name Pham, Tony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2020
Last updated Nov 16th, 2020 - about 4 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.

Request for update

Popular Providers