1730523135 NPI number — HAN'S CHINESE MEDICINE INC.

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 1730523135 NPI number — HAN'S CHINESE MEDICINE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAN'S CHINESE MEDICINE INC.
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:
Provider Other Organization Name Type Code:
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:
1730523135
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7932 MEADOW RUSH LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SARASOTA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34238-4318
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-486-1555
Provider Business Mailing Address Fax Number:
941-924-2278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
389 COMMERCIAL CT
Provider Second Line Business Practice Location Address:
SUITEB
Provider Business Practice Location Address City Name:
VENICE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34292-1617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-486-1555
Provider Business Practice Location Address Fax Number:
941-924-2278
Provider Enumeration Date:
04/29/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HAN
Authorized Official First Name:
QINGHONG
Authorized Official Middle Name:
Authorized Official Title or Position:
LICENSED ACUPUNCTURE PHYSICIAN
Authorized Official Telephone Number:
941-486-1555

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AP928 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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