Phan, Tuan

Phan, Tuan is an individual health care provider with primary practice located at 22 Pleasant St , Malden MA 02148-5119. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Phan, Tuan can be contacted via phone (781) 851-2648.

Contact Information

Primary practice address
22 Pleasant St Malden MA 02148-5119
Phone: (781) 851-2648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1336659689
LBN Legal business name Phan, Tuan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2017
Last updated Oct 1st, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336659689 NPPES
Massachusetts Other N0114518701 TUFTS HEALTH PLAN
Massachusetts Other 100042212066 TUFTS HEALTH PLAN

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