Provider Demographics
NPI:1972751022
Name:ONG, NELSON S (DC)
Entity type:Individual
Prefix:
First Name:NELSON
Middle Name:S
Last Name:ONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9303 LAGUNA SPRINGS DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7834
Mailing Address - Country:US
Mailing Address - Phone:916-513-7949
Mailing Address - Fax:916-647-4859
Practice Address - Street 1:9303 LAGUNA SPRINGS DR STE 110
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7834
Practice Address - Country:US
Practice Address - Phone:916-513-7949
Practice Address - Fax:916-647-4859
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor