Phan, Patrick T

Phan, Patrick T is an individual health care provider with primary practice located at 2902 112Th Ave Se , Bellevue WA 98004-7528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Phan, Patrick T can be contacted via phone (206) 725-4322.

Contact Information

Primary practice address
2902 112Th Ave Se Bellevue WA 98004-7528
Phone: (206) 725-4322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00026346 Washington
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00026346 Washington

Profile Details

NPI number 1790962355
LBN Legal business name Phan, Patrick T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2008
Last updated Oct 7th, 2014 - about 10 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 1790962355 NPPES
Washington MEDICAID 1029150

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