=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124578026
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HONG QI ACUPUNCTURE AND WELLNESS CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2016
-----------------------------------------------------
Last Update Date | 11/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 126 BOSTON POST RD
-----------------------------------------------------
City | EAST LYME
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06333-1606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-287-3796
-----------------------------------------------------
Fax | 860-691-0688
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 126 BOSTON POST RD
-----------------------------------------------------
City | EAST LYME
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06333-1606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-287-3796
-----------------------------------------------------
Fax | 860-451-8073
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS OWNER
-----------------------------------------------------
Name | HONG QI
-----------------------------------------------------
Credential | LAC
-----------------------------------------------------
Telephone | 860-287-3796
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 291
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------