Healthcare Provider Details

I. General information

NPI: 1184082471
Provider Name (Legal Business Name): ASIAN CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7827 BROOKLYN BLVD
BROOKLYN PARK MN
55445-2716
US

IV. Provider business mailing address

7827 BROOKLYN BLVD
BROOKLYN PARK MN
55445-2716
US

V. Phone/Fax

Practice location:
  • Phone: 763-566-5888
  • Fax: 763-566-6111
Mailing address:
  • Phone: 763-566-5888
  • Fax: 763-566-6111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number4626
License Number StateMN

VIII. Authorized Official

Name: DR. DUYLINH PHAM NGUYEN
Title or Position: ONWNER
Credential: D.C.
Phone: 763-566-5888