Van Tuy Phan is a Physician Assistant in Lakewood, Washington. Van Tuy Phan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Van Tuy Phan is 1912040049. The last update date is 2021-01-20.
Van Tuy Phan's current location address is 11311 Bridgeport Way Sw Ste 100, Lakewood, Washington. You can contact this provider via phone number 2539856490 and fax number 2539856488. The mailing address for Van Tuy Phan is 11311 Bridgeport Way Sw Ste 100, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Van Tuy Phan |
|---|---|
| Address | 11311 Bridgeport Way Sw Ste 100, Lakewood, Washington |
| Phone Number | 2539856490 |
| Fax Number | 2539856488 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1912040049 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2021-01-20 |
Provider Mailing Address Detail
| Address | 11311 Bridgeport Way Sw Ste 100 |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984993096 |
| Phone Number | 2539856490 |
| Fax Number | 2539856488 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10004199 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1042154 | WA | -- | |
| P00918654 | WA | MEDICARE RR | |
| G8891647 | WA | MEDICARE PTAN | |
| 262968 | WA | LNI |
Post Comment/ Review Below
What is the unique identifier code issued to Van Tuy Phan by the Centers for Medicare & Medicaid Services (CMS)?
The Van Tuy Phan has been assigned the NPI (National Provider Identifier) 1912040049. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Van Tuy Phan is located?
The Van Tuy Phan is situated at the following address: 11311 Bridgeport Way Sw Ste 100, Lakewood, WA, 984993096.
What is Van Tuy Phan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Van Tuy Phan's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912040049 to Van Tuy Phan?
The Van Tuy Phan received its 1912040049 assignment from the Centers for Medicare & Medicaid Services on 2007-02-15.
When was the Van Tuy Phan's information last updated?
The Van Tuy Phan's information was last updated on 2021-01-20.