Mr Jonathan T Nguyen, DC | |
7417 Jefferson Hwy, Baton Rouge, LA 70806-8205 | |
(225) 246-7915 | |
Not Available |
Full Name | Mr Jonathan T Nguyen |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 7417 Jefferson Hwy, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326720285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1965 (Louisiana) | Primary |
Provider Name | Sw Corbin Enterprises Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104129386 PECOS PAC ID: 6406044387 Enrollment ID: O20101220000039 |
Mailing Address | Practice Location Address |
---|---|
Mr Jonathan T Nguyen, DC 7417 Jefferson Hwy, Baton Rouge, LA 70806-8205 Ph: (225) 246-7915 | Mr Jonathan T Nguyen, DC 7417 Jefferson Hwy, Baton Rouge, LA 70806-8205 Ph: (225) 246-7915 |
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