Healthcare Provider Details

I. General information

NPI: 1922403880
Provider Name (Legal Business Name): TRIEU NGUYEN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 02/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3545 S TAMARAC DR STE 170
DENVER CO
80237-1418
US

IV. Provider business mailing address

12510 E ILIFF AVE STE. 210
AURORA CO
80014-6376
US

V. Phone/Fax

Practice location:
  • Phone: 303-564-5008
  • Fax: 720-484-4329
Mailing address:
  • Phone: 303-927-6181
  • Fax: 720-379-5827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 11239
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0007315
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: