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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 12 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 1346246998 NPPES
Pennsylvania MEDICAID 0090017101

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