Healthcare Provider Details

I. General information

NPI: 1699685743
Provider Name (Legal Business Name): XINCHANG ZHOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 ARCH ST
PHILADELPHIA PA
19107-1852
US

IV. Provider business mailing address

926 ARCH ST
PHILADELPHIA PA
19107-1852
US

V. Phone/Fax

Practice location:
  • Phone: 219-392-0939
  • Fax: 215-392-0939
Mailing address:
  • Phone: 215-392-0939
  • Fax: 215-392-0939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberOM000246
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: