Tran, Ngac Tien
Tran, Ngac Tien is an sole proprietor health care provider with primary practice located at 1545 Saint Marks Plz Suite 1C, Stockton CA 95207-6411. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Tran, Ngac Tien can be contacted via phone (209) 473-2833.Contact Information
Primary practice address
1545 Saint Marks Plz Suite 1C
Stockton CA 95207-6411
Phone: (209) 473-2833
Fax: (209) 473-0435
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A41161 | California |
Profile Details
NPI number | 1912001363 |
---|---|
LBN Legal business name | Tran, Ngac Tien |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 7th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1912001363 | NPPES |
California | MEDICAID | 00A411610 |
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