Phan, Ngoc An
Phan, Ngoc An is an sole proprietor health care provider with primary practice located at 909 S 11Th St , Philadelphia PA 19147-3701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Phan, Ngoc An can be contacted via phone (215) 923-6080.Contact Information
Primary practice address
909 S 11Th St
Philadelphia PA 19147-3701
Phone: (215) 923-6080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD039037L | Pennsylvania |
Profile Details
| NPI number | 1346246998 |
|---|---|
| LBN Legal business name | Phan, Ngoc An |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jan 12th, 2012 - about 13 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 | 1346246998 | NPPES |
| Pennsylvania | MEDICAID | 0090017101 |
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