Phan, Khanh Bao

Phan, Khanh Bao is an sole proprietor health care provider with primary practice located at 1651 Earl St , Union NJ 07083-5531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Phan, Khanh Bao can be contacted via phone (908) 591-9200.

Contact Information

Primary practice address
1651 Earl St Union NJ 07083-5531
Phone: (908) 591-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB08718100 New Jersey

Profile Details

NPI number 1871804328
LBN Legal business name Phan, Khanh Bao
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2010
Last updated Jun 30th, 2010 - about 15 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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