Provider Demographics
NPI:1154480036
Name:NGUYEN, BINH HUY (DC)
Entity Type:Individual
Prefix:DR
First Name:BINH
Middle Name:HUY
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43350 JUNIPER GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-1969
Mailing Address - Country:US
Mailing Address - Phone:703-598-8875
Mailing Address - Fax:703-435-7890
Practice Address - Street 1:44330 PREMIER PLZ
Practice Address - Street 2:110
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5025
Practice Address - Country:US
Practice Address - Phone:703-598-8875
Practice Address - Fax:703-435-7890
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA654180OtherACN PROVIDER NUMBER
VA278597OtherANTHEM PROVIDER ID