Win, Tin T

Win, Tin T is an individual health care provider with primary practice located at 2180 Mcculloch Blvd N , Lake Havasu City AZ 86403-6879. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Win, Tin T can be contacted via phone (928) 680-8282.

Contact Information

Primary practice address
2180 Mcculloch Blvd N Lake Havasu City AZ 86403-6879
Phone: (928) 680-8282
Fax: (928) 680-8288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28212 Arizona

Profile Details

NPI number 1659357929
LBN Legal business name Win, Tin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jul 8th, 2007 - about 18 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 1659357929 NPPES
Arizona MEDICAID AZ77790

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