Tran, Thai Bao
Tran, Thai Bao is an individual health care provider with primary practice located at 920 Doug White Dr Ste 210 , Myrtle Beach SC 29572-4181. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Tran, Thai Bao can be contacted via phone (843) 497-6348.Contact Information
Primary practice address
920 Doug White Dr Ste 210
Myrtle Beach SC 29572-4181
Phone: (843) 497-6348
Fax: (843) 497-6351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5014070 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5014070 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 26043 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26043 | South Carolina |
Profile Details
NPI number | 1972195527 |
---|---|
LBN Legal business name | Tran, Thai Bao |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2021 |
Last updated | Sep 28th, 2022 - about 2 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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