Van, Thu

Van, Thu is an sole proprietor health care provider with primary practice located at 1155 Skyline Dr , Conway AR 72032-2857. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Van, Thu can be contacted via phone (501) 329-2020.

Contact Information

Primary practice address
1155 Skyline Dr Conway AR 72032-2857
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2587 Arkansas

Profile Details

NPI number 1356532709
LBN Legal business name Van, Thu
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2007
Last updated Nov 17th, 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 1356532709 NPPES
Arkansas MEDICAID 167610722

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