Tran, Thao Nguyen

Tran, Thao Nguyen is an individual health care provider with primary practice located at 7201 Green Bay Rd Ste C , Kenosha WI 53142-3532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Tran, Thao Nguyen can be contacted via phone (262) 842-2358.

Contact Information

Primary practice address
7201 Green Bay Rd Ste C Kenosha WI 53142-3532
Phone: (262) 842-2358
Fax: (888) 959-8367
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 44790-20 Wisconsin
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036099127 Illinois

Profile Details

NPI number 1891761524
LBN Legal business name Tran, Thao Nguyen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891761524 NPPES
Wisconsin Other K400133004 MEDICARE PTAN
Wisconsin Other 44790-20 MEDICARE PTAN
Wisconsin Other 036099127 MEDICARE PTAN
Wisconsin Other 11357585 MEDICARE PTAN
Wisconsin Other F400110685 MEDICARE PTAN
Wisconsin MEDICAID 34243100 MEDICARE PTAN

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