Phan, Athena Nga
Phan, Athena Nga is an sole proprietor health care provider with primary practice located at 202 Mitylene Park Dr , Montgomery AL 36117-3548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Phan, Athena Nga can be contacted via phone (205) 801-8378.Contact Information
Primary practice address
202 Mitylene Park Dr
Montgomery AL 36117-3548
Phone: (205) 801-8378
Fax: (334) 273-7837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 20145 | Alabama |
Profile Details
| NPI number | 1386793925 |
|---|---|
| LBN Legal business name | Phan, Athena Nga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Feb 6th, 2024 - about 9 months 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 | 1386793925 | NPPES |
| Alabama | Other | 51033969 | BLUE CROSS |
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