MEDICARE: BUCKEYE ACUPUNCTURE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1578207320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKEYE ACUPUNCTURE LLC

Provider Business Mailing Address
First Line	:	2323 LAKE CLUB DR STE 206
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3101
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 LAKE CLUB DR STE 206
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3101
Country	:	US
Telephone Number	:	614-259-7188
Fax Number	:	614-810-6088

Authorized Official
Title or Position	:	OWNER
Name	:	FENG HONG
Credential	:
Telephone Number	:	614-259-7188

Provider Enumeration Date	:	04/26/2022
Last Update Date	:	05/15/2023

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Directions to “BUCKEYE ACUPUNCTURE LLC ” Practice Location

Language	Start Address	Practice Location

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