1396872677 NPI number — MS. HONG LIN LIC AC

Table of content: MS. HONG LIN LIC AC (NPI 1396872677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396872677 NPI number — MS. HONG LIN LIC AC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIN
Provider First Name:
HONG
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LIC AC
Provider Gender Code:
F

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:
1396872677
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/28/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6100 MAIDEN LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20817-6655
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-213-2105
Provider Business Mailing Address Fax Number:
301-229-1161

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4808 MOORLAND LN
Provider Second Line Business Practice Location Address:
#101
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20814-6131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-213-2105
Provider Business Practice Location Address Fax Number:
301-229-1161
Provider Enumeration Date:
02/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  U1073 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 171100000X , with the licence number: AC30084 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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