Tran, Thao Nguyen
Tran, Thao Nguyen is an individual health care provider with primary practice located at 7201 Green Bay Rd Ste C , Kenosha WI 53142-3532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Tran, Thao Nguyen can be contacted via phone (262) 842-2358.Contact Information
Primary practice address
7201 Green Bay Rd Ste C
Kenosha WI 53142-3532
Phone: (262) 842-2358
Fax: (888) 959-8367
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 44790-20 | Wisconsin |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036099127 | Illinois |
Profile Details
NPI number | 1891761524 |
---|---|
LBN Legal business name | Tran, Thao Nguyen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1891761524 | NPPES |
Wisconsin | Other | K400133004 | MEDICARE PTAN |
Wisconsin | Other | 44790-20 | MEDICARE PTAN |
Wisconsin | Other | 036099127 | MEDICARE PTAN |
Wisconsin | Other | 11357585 | MEDICARE PTAN |
Wisconsin | Other | F400110685 | MEDICARE PTAN |
Wisconsin | MEDICAID | 34243100 | MEDICARE PTAN |
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