Provider Demographics
NPI:1124049804
Name:LIN, CHIEN-HEN H (DC)
Entity type:Individual
Prefix:DR
First Name:CHIEN-HEN
Middle Name:H
Last Name:LIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19028 STEVENS CREEK BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2560
Mailing Address - Country:US
Mailing Address - Phone:408-996-9686
Mailing Address - Fax:408-996-9683
Practice Address - Street 1:19028 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2560
Practice Address - Country:US
Practice Address - Phone:408-996-9686
Practice Address - Fax:408-996-9683
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0288150Medicare ID - Type UnspecifiedMEDICARE NUMBER
CAV07400Medicare UPIN