Pham, Jimmy Duy

Pham, Jimmy Duy is an sole proprietor health care provider with primary practice located at 21 Glen Ed Professional Park , Glen Carbon IL 62034-3333. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Pham, Jimmy Duy can be contacted via phone (618) 656-0608.

Contact Information

Primary practice address
21 Glen Ed Professional Park Glen Carbon IL 62034-3333
Phone: (618) 656-0608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 2022022932 Missouri

Profile Details

NPI number 1659950087
LBN Legal business name Pham, Jimmy Duy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2021
Last updated May 8th, 2023 - about 3 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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