Phan, Jimmy
Phan, Jimmy is an sole proprietor health care provider with primary practice located at 1731 Manhattan Blvd , Harvey LA 70058-3409. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Phan, Jimmy can be contacted via phone (504) 364-1659.Contact Information
Primary practice address
1731 Manhattan Blvd
Harvey LA 70058-3409
Phone: (504) 364-1659
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 019223 | Louisiana |
Profile Details
| NPI number | 1023302213 |
|---|---|
| LBN Legal business name | Phan, Jimmy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2011 |
| Last updated | Jun 5th, 2011 - about 14 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 | 1023302213 | NPPES |
| Louisiana | Other | 019223 | PHARMACIST |
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