Provider Demographics
NPI:1508385261
Name:NGHIEM, TRANG N (DC)
Entity Type:Individual
Prefix:DR
First Name:TRANG
Middle Name:N
Last Name:NGHIEM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TRANG
Other - Middle Name:N
Other - Last Name:NGHIEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:9310 OLD KINGS RD S STE 1102
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-6196
Mailing Address - Country:US
Mailing Address - Phone:904-802-4410
Mailing Address - Fax:
Practice Address - Street 1:9310 OLD KINGS RD S STE 1102
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-6196
Practice Address - Country:US
Practice Address - Phone:904-802-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor