Nguyen, Vincent Tam
Nguyen, Vincent Tam is an individual health care provider with primary practice located at 17520 Old Jefferson Hwy Ste B, Prairieville LA 70769-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nguyen, Vincent Tam can be contacted via phone (225) 673-8983.Contact Information
Primary practice address
17520 Old Jefferson Hwy Ste B
Prairieville LA 70769-3929
Phone: (225) 673-8983
Fax: (225) 677-8983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD200621 | Louisiana |
Profile Details
| NPI number | 1053459644 |
|---|---|
| LBN Legal business name | Nguyen, Vincent Tam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2007 |
| Last updated | Sep 24th, 2014 - about 12 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 | 1053459644 | NPPES |
| Louisiana | Other | 248568YRBU | MEDICARE PTAN |
| Louisiana | MEDICAID | 1071005 | MEDICARE PTAN |
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