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NPI Code Detail

MEDICARE: THY NGUYEN DC

MEDICARE:   THY  NGUYEN  DC
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
1111N00000XChiropractor2690AL
2111N00000XChiropractor2301401495MI

General Provider Information

NPI Number : 1780260752
Entity Type Code : Individual
Provider Name (Legal Business Name) : THY NGUYEN DC
Provider Business Mailing Address
First Line : 351 W MAIN ST
Second Line :
City : IONIA
State : MI
Zip : 48846-1639
Country : US
Telephone Number : 616-206-6428
Fax Number :
Provider Business Practice Location Address
First Line : 351 W MAIN ST
Second Line :
City : IONIA
State : MI
Zip : 48846-1639
Country : US
Telephone Number : 616-206-6428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 09/05/2024

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Directions to “ THY NGUYEN DC” Practice Location

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