Phathanak, Sopheap
Phathanak, Sopheap is an sole proprietor health care provider with primary practice located at 3508 Martins Woods Ln , La Vergne TN 37086-4048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phathanak, Sopheap can be contacted via phone (615) 481-2474.Contact Information
Primary practice address
3508 Martins Woods Ln
La Vergne TN 37086-4048
Phone: (615) 481-2474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20504 | Tennessee |
Profile Details
| NPI number | 1598130882 |
|---|---|
| LBN Legal business name | Phathanak, Sopheap |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2015 |
| Last updated | Dec 11th, 2015 - about 9 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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