Provider Demographics
NPI:1427142546
Name:NGHIEP TRIEU, D. C. PA
Entity type:Organization
Organization Name:NGHIEP TRIEU, D. C. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NGHIEP
Authorized Official - Middle Name:QUANG
Authorized Official - Last Name:TRIEU
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:316-681-8008
Mailing Address - Street 1:2020 N WOODLAWN ST
Mailing Address - Street 2:SUITE 660
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-1852
Mailing Address - Country:US
Mailing Address - Phone:316-681-8008
Mailing Address - Fax:316-681-8600
Practice Address - Street 1:2020 N WOODLAWN ST
Practice Address - Street 2:SUITE 660
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1852
Practice Address - Country:US
Practice Address - Phone:316-681-8008
Practice Address - Fax:316-681-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS060895OtherBCBS
KS660015Medicare ID - Type UnspecifiedMEDICARE GROUP #
KS060895OtherBCBS