Provider Demographics
NPI:1689867848
Name:ANTHONY M. TRAN
Entity Type:Organization
Organization Name:ANTHONY M. TRAN
Other - Org Name:AT MY CHIROPRACTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MY
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-263-4747
Mailing Address - Street 1:1240 S ABEL ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6265
Mailing Address - Country:US
Mailing Address - Phone:408-263-4747
Mailing Address - Fax:408-263-4545
Practice Address - Street 1:1240 S ABEL ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6265
Practice Address - Country:US
Practice Address - Phone:408-263-4747
Practice Address - Fax:408-263-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC024113111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty