Tran, Martin Quan
Tran, Martin Quan is an individual health care provider with primary practice located at 107 Woodlawn Dr , Johnson City TN 37604-5978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Tran, Martin Quan can be contacted via phone (423) 929-7158.Contact Information
Primary practice address
107 Woodlawn Dr
Johnson City TN 37604-5978
Phone: (423) 929-7158
Fax: (423) 928-9625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | DO1528 | Tennessee |
Profile Details
| NPI number | 1851395891 |
|---|---|
| LBN Legal business name | Tran, Martin Quan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jan 19th, 2010 - about 14 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 | 1851395891 | NPPES |
| Tennessee | MEDICAID | 3307966 |
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