Healthcare Provider Details

I. General information

NPI: 1770765661
Provider Name (Legal Business Name): PING H HU L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7551 MAIN ST STE 212
RALSTON NE
68127-5906
US

IV. Provider business mailing address

7551 MAIN ST STE 212
RALSTON NE
68127-5906
US

V. Phone/Fax

Practice location:
  • Phone: 402-592-6525
  • Fax: 402-292-1729
Mailing address:
  • Phone: 402-592-6525
  • Fax: 402-292-1729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number10
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: