Phan, Patrick T
Phan, Patrick T is an individual health care provider with primary practice located at 2902 112Th Ave Se , Bellevue WA 98004-7528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Phan, Patrick T can be contacted via phone (206) 725-4322.Contact Information
Primary practice address
2902 112Th Ave Se
Bellevue WA 98004-7528
Phone: (206) 725-4322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00026346 | Washington |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD00026346 | Washington |
Profile Details
| NPI number | 1790962355 |
|---|---|
| LBN Legal business name | Phan, Patrick T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2008 |
| Last updated | Oct 7th, 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 | 1790962355 | NPPES |
| Washington | MEDICAID | 1029150 |
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