Provider Demographics
NPI:1790984581
Name:NGUYEN, HUY (DC)
Entity Type:Individual
Prefix:DR
First Name:HUY
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 1ST AVE S
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-1602
Mailing Address - Country:US
Mailing Address - Phone:612-871-6555
Mailing Address - Fax:612-871-6556
Practice Address - Street 1:2645 1ST AVE S
Practice Address - Street 2:SUITE 1
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-1602
Practice Address - Country:US
Practice Address - Phone:612-871-6555
Practice Address - Fax:612-871-6556
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor