Healthcare Provider Details

I. General information

NPI: 1497851109
Provider Name (Legal Business Name): HOAI-LINH D NGUYEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 05/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3263 DEMETROPOLIS RD SUITE 10
MOBILE AL
36693-4638
US

IV. Provider business mailing address

251 N BAYOU ST
MOBILE AL
36603-5827
US

V. Phone/Fax

Practice location:
  • Phone: 251-665-4999
  • Fax: 251-665-4998
Mailing address:
  • Phone: 251-690-8158
  • Fax: 251-544-2188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1-137890
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2161
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: