Nguyen, Alexander Van Tam

Nguyen, Alexander Van Tam is an sole proprietor health care provider with primary practice located at 2400 N Main St , Fuquay Varina NC 27526-8573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nguyen, Alexander Van Tam can be contacted via phone (919) 235-6513.

Contact Information

Primary practice address
2400 N Main St Fuquay Varina NC 27526-8573
Fax: (919) 341-3379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2026-02282 North Carolina

Profile Details

NPI number 1417643321
LBN Legal business name Nguyen, Alexander Van Tam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2023
Last updated Jul 24th, 2026 - about 4 months 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 1417643321 NPPES
North Carolina MEDICAID 1417643321

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