Le Thanh, Clement Phuong Nguyen
Le Thanh, Clement Phuong Nguyen is an sole proprietor health care provider with primary practice located at 320 S Kitsap Blvd , Port Orchard WA 98366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Le Thanh, Clement Phuong Nguyen can be contacted via phone (360) 876-7215.Contact Information
Primary practice address
320 S Kitsap Blvd
Port Orchard WA 98366
Phone: (360) 876-7215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00046845 | Washington |
Profile Details
| NPI number | 1386749281 |
|---|---|
| LBN Legal business name | Le Thanh, Clement Phuong Nguyen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Feb 20th, 2008 - 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 | 1386749281 | NPPES |
| Washington | MEDICAID | 8465742 |
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