Provider Demographics
NPI:1497524953
Name:NGO, HIEP
Entity Type:Individual
Prefix:
First Name:HIEP
Middle Name:
Last Name:NGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 HARBOR LN N STE 212
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-5120
Mailing Address - Country:US
Mailing Address - Phone:763-367-6012
Mailing Address - Fax:866-909-9372
Practice Address - Street 1:3021 HARBOR LN N STE 212
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-5120
Practice Address - Country:US
Practice Address - Phone:763-367-6012
Practice Address - Fax:866-909-9372
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2682237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist