Thach, Allen Bradford

Thach, Allen Bradford is an individual health care provider with primary practice located at 653 N Town Center Drive Suite 518, Las Vegas NV 89144. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Thach, Allen Bradford can be contacted via phone (702) 369-0200.

Contact Information

Primary practice address
653 N Town Center Drive Suite 518 Las Vegas NV 89144
Phone: (702) 369-0200
Fax: (702) 243-8383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 10505 Nevada
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 10505 Nevada

Profile Details

NPI number 1457305625
LBN Legal business name Thach, Allen Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Aug 17th, 2018 - about 6 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 1457305625 NPPES
Nevada Other CC6532 BCBS ANTHEM
Nevada Other P00082830 BCBS ANTHEM
Nevada MEDICAID 100500619 BCBS ANTHEM

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