Provider Demographics
NPI:1194767939
Name:NGUYEN, ANH V (DC)
Entity type:Individual
Prefix:DR
First Name:ANH
Middle Name:V
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5416 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2802
Mailing Address - Country:US
Mailing Address - Phone:215-324-1400
Mailing Address - Fax:215-324-1400
Practice Address - Street 1:5416 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-2802
Practice Address - Country:US
Practice Address - Phone:215-324-1400
Practice Address - Fax:215-324-1400
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007839L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2194991000OtherKEYSTONE HEALTH PLAN EAST
PA30019331OtherKEYSTONE MERCY HEALTH
PA1506770OtherINDEPENDENCE BLUE CROSS
PA2194991000OtherKEYSTONE HEALTH PLAN EAST
PA30019331OtherKEYSTONE MERCY HEALTH