Provider Demographics
NPI:1043894793
Name:ACPUNCTURE OF TCM CLINIC LLC
Entity type:Organization
Organization Name:ACPUNCTURE OF TCM CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:614-312-1106
Mailing Address - Street 1:6254 CHAPEL WAY CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8514
Mailing Address - Country:US
Mailing Address - Phone:614-312-1106
Mailing Address - Fax:
Practice Address - Street 1:6465 REFLECTIONS DR STE 230
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2375
Practice Address - Country:US
Practice Address - Phone:614-312-1106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty