Provider Demographics
NPI:1831426923
Name:NGUYEN, THONG HUU (DC)
Entity type:Individual
Prefix:DR
First Name:THONG
Middle Name:HUU
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 1:3322 E HAMMER LN
Mailing Address - Street 2:SUITE I
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-3843
Mailing Address - Country:US
Mailing Address - Phone:209-957-8808
Mailing Address - Fax:209-957-8805
Practice Address - Street 1:3322 E HAMMER LN
Practice Address - Street 2:SUITE I
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95212-3843
Practice Address - Country:US
Practice Address - Phone:209-957-8808
Practice Address - Fax:209-957-8805
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor