Ha, Quyen Thanh

Ha, Quyen Thanh is an sole proprietor health care provider with primary practice located at 430 N Monte Vista St Valley View Reg Hospital Wound Care Center, Ada OK 74820-4610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ha, Quyen Thanh can be contacted via phone (580) 272-1731.

Contact Information

Primary practice address
430 N Monte Vista St Valley View Reg Hospital Wound Care Center Ada OK 74820-4610
Phone: (580) 272-1731
Fax: (580) 272-1720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24063 Oklahoma

Profile Details

NPI number 1245383264
LBN Legal business name Ha, Quyen Thanh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2007
Last updated Feb 14th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245383264 NPPES
Oklahoma MEDICAID 200108140A

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