Phan, Van Tuy

Phan, Van Tuy is an individual health care provider with primary practice located at 11311 Bridgeport Way Sw Ste 100 , Lakewood WA 98499-3096. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Phan, Van Tuy can be contacted via phone (253) 985-6490.

Contact Information

Primary practice address
11311 Bridgeport Way Sw Ste 100 Lakewood WA 98499-3096
Phone: (253) 985-6490
Fax: (253) 985-6488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004199 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004199 Washington

Profile Details

NPI number 1912040049
LBN Legal business name Phan, Van Tuy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jan 20th, 2021 - about 3 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 1912040049 NPPES
Washington MEDICAID 1042154
Washington Other P00918654
Washington Other G8891647
Washington Other 0262968

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