Healthcare Provider Details

I. General information

NPI: 1508902719
Provider Name (Legal Business Name): ACUPUNCTURE HEALING CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 N HIGH ST
COLUMBUS OH
43214-3527
US

IV. Provider business mailing address

3800 N HIGH ST
COLUMBUS OH
43214-3527
US

V. Phone/Fax

Practice location:
  • Phone: 614-267-3800
  • Fax: 614-947-0358
Mailing address:
  • Phone: 614-267-3800
  • Fax: 614-947-0358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number97
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: LINA ZHAO
Title or Position: L.AC
Credential:
Phone: 614-267-3800