Look up the most recent NPI and PECOS records

Loan Thi Huynh

Chiropractor

Chiropractic Providers

4008 Barrett Dr, Suite 104, Raleigh, NC 27609-6621

PECOS Enrollment

Based on the most recent information from CMS, provider Loan Thi Huynh does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1083681399
Provider Type
Individual
Full Name
Huynh, Loan Thi
Title
Dr.
Credential
DC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/6/2006
Last Updated
7/19/2007

Contact Information

Practice Location

4008 Barrett Dr, Suite 104, Raleigh, NC 27609-6621

(919) 791-0445

Unlisted Fax

Mailing Location

4008 Barrett Dr, Suite 104, Raleigh, NC 27609-6621

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 3246 North Carolina
Code 111N00000X	Description Chiropractor Chiropractic Providers	License DC009228 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 1610519	Description Other	Issuer HIGHMARK Pennsylvania
ID 50040571	Description Other	Issuer CBC Pennsylvania

Loan Thi Huynh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Raleigh Family And Injury Chiropractic

Mohar, Benjamin

Baldy Chiropractic

Jenks, Meghan

Sellers, Clinton

Peak Chiropractic

Dodd, Lawrence

Capital Physical Medicine

Prickett, Wayne J

Care Chiropractic Pc