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:
Health care specialties
Specialty | Code | License # | 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 7 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 | 1457305625 | NPPES |
Nevada | Other | CC6532 | BCBS ANTHEM |
Nevada | Other | P00082830 | BCBS ANTHEM |
Nevada | MEDICAID | 100500619 | BCBS ANTHEM |
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