Provider Demographics
NPI:1962631739
Name:NGUYEN, VU HOANG (DC)
Entity Type:Individual
Prefix:DR
First Name:VU
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:MR
Other - First Name:VU
Other - Middle Name:HOANG
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3801 N. FAIRFAX DRIVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1762
Mailing Address - Country:US
Mailing Address - Phone:703-243-7878
Mailing Address - Fax:703-243-7880
Practice Address - Street 1:3801 FAIRFAX DR
Practice Address - Street 2:SUITE 12
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1762
Practice Address - Country:US
Practice Address - Phone:703-243-7878
Practice Address - Fax:703-243-7880
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01045567723111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor