Provider Demographics
NPI:1124617196
Name:JIAO, SULIN
Entity type:Individual
Prefix:
First Name:SULIN
Middle Name:
Last Name:JIAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6247 WYNFORD DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8477
Mailing Address - Country:US
Mailing Address - Phone:614-822-0930
Mailing Address - Fax:614-859-5928
Practice Address - Street 1:3535 FISHINGER BLVD STE 180
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7505
Practice Address - Country:US
Practice Address - Phone:614-360-6393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty