Pham, Vi T

Pham, Vi T is an individual health care provider with primary practice located at 1080 Chinook Ln , Pueblo CO 81001-1850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Pham, Vi T can be contacted via phone (719) 564-9400.

Contact Information

Primary practice address
1080 Chinook Ln Pueblo CO 81001-1850
Fax: (719) 564-0497
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0004927 Colorado

Profile Details

NPI number 1003342981
LBN Legal business name Pham, Vi T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003342981 NPPES
Colorado Other PA.0004927 DORA MEDICAL BOARD.

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