Provider Demographics
NPI:1760574297
Name:TRIEU, NGHIEP Q (D C)
Entity Type:Individual
Prefix:DR
First Name:NGHIEP
Middle Name:Q
Last Name:TRIEU
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 N WOODLAWN ST
Mailing Address - Street 2:SUITE 660
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-1852
Mailing Address - Country:US
Mailing Address - Phone:316-681-8008
Mailing Address - Fax:316-681-8600
Practice Address - Street 1:2020 N WOODLAWN ST
Practice Address - Street 2:SUITE 660
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1852
Practice Address - Country:US
Practice Address - Phone:316-681-8008
Practice Address - Fax:316-681-8600
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS660015Medicare ID - Type Unspecified
KSU57735Medicare UPIN