MEDICARE: DR. DANG LE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1195	MS

General Provider Information

NPI Number	:	1730524166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANG LE D.C.

Provider Business Mailing Address
First Line	:	312 RODENBERG AVE
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39531-3414
Country	:	US
Telephone Number	:	228-432-5475
Fax Number	:

Provider Business Practice Location Address
First Line	:	1888 BEACH BLVD
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39531-5208
Country	:	US
Telephone Number	:	228-243-9454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2013
Last Update Date	:	04/29/2013

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Directions to “ DR. DANG LE D.C.” Practice Location

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