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
Fax: (414) 298-7281
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194721407 NPPES
Wisconsin MEDICAID 34379700

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