Healthcare Provider Details

I. General information

NPI: 1457286734
Provider Name (Legal Business Name): RICKY BAO HUY TRAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 SILVERSIDE RD
WILMINGTON DE
19810-4812
US

IV. Provider business mailing address

902 N MARKET ST APT 223
WILMINGTON DE
19801-3000
US

V. Phone/Fax

Practice location:
  • Phone: 302-477-1565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0011177
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: