Nguyen, Charles Phong

Nguyen, Charles Phong is an sole proprietor health care provider with primary practice located at 2390 Morgan Ave , Bronx NY 10469-5720. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Independent Medical Examiner, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Nguyen, Charles Phong can be contacted via phone (646) 772-1566.

Contact Information

Primary practice address
2390 Morgan Ave Bronx NY 10469-5720
Phone: (646) 772-1566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X008941 New York
Chiropractic Providers / Independent Medical Examiner 111NI0013X X008941 New York
Chiropractic Providers / Rehabilitation 111NR0400X X008941 New York

Profile Details

NPI number 1407079791
LBN Legal business name Nguyen, Charles Phong
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Apr 21st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407079791 NPPES
New York MEDICAID 02132236

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