Provider Demographics
NPI:1508576166
Name:NGUYEN CHIROPRACTIC AND ACUPUNCTURE WELLNESS
Entity Type:Organization
Organization Name:NGUYEN CHIROPRACTIC AND ACUPUNCTURE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:MINH DAO
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC, DIPL OM
Authorized Official - Phone:201-790-6986
Mailing Address - Street 1:53 PASSAIC ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-3134
Mailing Address - Country:US
Mailing Address - Phone:973-894-3346
Mailing Address - Fax:
Practice Address - Street 1:53 PASSAIC ST
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-3134
Practice Address - Country:US
Practice Address - Phone:973-894-3346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty