1689830705 NPI number — CHINESE ACUPUNCTURE INSTITUTE OF NEW MEXICO

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689830705 NPI number — CHINESE ACUPUNCTURE INSTITUTE OF NEW MEXICO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHINESE ACUPUNCTURE INSTITUTE OF NEW MEXICO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WEI ZHOU
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689830705
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7900 PENNSYLVANIA CIR NE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87110-7827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-265-5168
Provider Business Mailing Address Fax Number:
505-265-5168

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7900 PENNSYLVANIA CIR NE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87110-7827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-265-5168
Provider Business Practice Location Address Fax Number:
505-265-5168
Provider Enumeration Date:
07/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ZHOU
Authorized Official First Name:
WEI
Authorized Official Middle Name:
Authorized Official Title or Position:
DOCTOR OF ORIENTAL MEDICINE/OWNER
Authorized Official Telephone Number:
505-265-5168

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  419/417 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1073604583 . This is a "INDIVIDUAL NPI FOR DR JIANG WANG" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 1700977212 . This is a "INDIVIDUAL NPI FOR DR WEI ZHOU" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".




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