Nguyen, Dich Van
Nguyen, Dich Van is an individual health care provider with primary practice located at 4865 Lavista Rd , Tucker GA 30084-4436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nguyen, Dich Van can be contacted via phone (770) 270-0290.Contact Information
Primary practice address
4865 Lavista Rd
Tucker GA 30084-4436
Phone: (770) 270-0290
Fax: (770) 723-0598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036656 | Georgia |
Profile Details
| NPI number | 1154358760 |
|---|---|
| LBN Legal business name | Nguyen, Dich Van |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Dec 2nd, 2010 - about 16 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 | 1154358760 | NPPES |
| Georgia | MEDICAID | 000614116C |
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