Healthcare Provider Details

I. General information

NPI: 1821261645
Provider Name (Legal Business Name): HONG CHEN ACUPUNCTRIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2008
Last Update Date: 04/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6685 DOUBLETREE AVE
COLUMBUS OH
43229-1113
US

IV. Provider business mailing address

PO BOX 121
MARYSVILLE OH
43040-0121
US

V. Phone/Fax

Practice location:
  • Phone: 937-644-2609
  • Fax: 614-825-6279
Mailing address:
  • Phone: 937-644-2609
  • Fax: 614-825-6255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number99
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: