Provider Demographics
NPI:1265506281
Name:DINH, TUYET (DC)
Entity Type:Individual
Prefix:DR
First Name:TUYET
Middle Name:
Last Name:DINH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 COLLINS STREET TER
Mailing Address - Street 2:1ST FL.
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-2205
Mailing Address - Country:US
Mailing Address - Phone:508-567-7044
Mailing Address - Fax:617-965-4277
Practice Address - Street 1:957 WATERTOWN ST
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2125
Practice Address - Country:US
Practice Address - Phone:617-965-4276
Practice Address - Fax:617-965-4277
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY45867OtherMEDICARE