Tran, Ethan
Tran, Ethan is an individual health care provider with primary practice located at 26338 73Rd Ave Fl 2 , Glen Oaks NY 11004-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tran, Ethan can be contacted via phone (408) 600-4490.Contact Information
Primary practice address
26338 73Rd Ave Fl 2
Glen Oaks NY 11004-1004
Phone: (408) 600-4490
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 261208-1 | New York |
Profile Details
NPI number | 1518258268 |
---|---|
LBN Legal business name | Tran, Ethan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 29th, 2011 |
Last updated | Jun 28th, 2013 - about 11 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 | 1518258268 | NPPES |
Texas | Other | 8DG075 | BCBS |
Texas | Other | 1518258268 | BCBS |
Texas | MEDICAID | 302201402 | BCBS |
Texas | MEDICAID | 302201401 | BCBS |
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