Phan, Nguyen H
Phan, Nguyen H is an individual health care provider with primary practice located at 2350 N Lake Dr Ste 206, Milwaukee WI 53211-4528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Phan, Nguyen H can be contacted via phone (414) 298-7280.Contact Information
Primary practice address
2350 N Lake Dr Ste 206
Milwaukee WI 53211-4528
Phone: (414) 298-7280
Fax: (414) 298-7281
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 45546 020 | Wisconsin |
Profile Details
NPI number | 1194721407 |
---|---|
LBN Legal business name | Phan, Nguyen H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2005 |
Last updated | Nov 24th, 2010 - 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 | 1194721407 | NPPES |
Wisconsin | MEDICAID | 34379700 |
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