Provider Demographics
NPI:1669902870
Name:NG, SOON LENG (DC)
Entity type:Individual
Prefix:DR
First Name:SOON
Middle Name:LENG
Last Name:NG
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 1:160 TAUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-4531
Mailing Address - Country:US
Mailing Address - Phone:401-270-8865
Mailing Address - Fax:401-383-6505
Practice Address - Street 1:259 POST RD
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2601
Practice Address - Country:US
Practice Address - Phone:401-322-8822
Practice Address - Fax:401-322-9191
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDC00449111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIDC00449OtherLICENSE