Tan, Vigilio M
Tan, Vigilio M is an individual health care provider with primary practice located at 219 S Spring Street , Martinsburg WV 25401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tan, Vigilio M can be contacted via phone (304) 267-9981.Contact Information
Primary practice address
219 S Spring Street
Martinsburg WV 25401
Phone: (304) 267-9981
Fax: (304) 267-5884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 13607 | West Virginia |
Profile Details
| NPI number | 1629161815 |
|---|---|
| LBN Legal business name | Tan, Vigilio M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Nov 14th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629161815 | NPPES |
| West Virginia | MEDICAID | 0096657000 |
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