Tran, Xuan Thy

Tran, Xuan Thy is an individual health care provider with primary practice located at 1292 Capitol Dr , Pewaukee WI 53072-2580. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tran, Xuan Thy can be contacted via phone (262) 695-7373.

Contact Information

Primary practice address
1292 Capitol Dr Pewaukee WI 53072-2580
Fax: (262) 695-7377
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47219 Wisconsin

Profile Details

NPI number 1720193295
LBN Legal business name Tran, Xuan Thy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Sep 23rd, 2008 - about 17 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 1720193295 NPPES
Wisconsin MEDICAID 34543000

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