Provider Demographics
NPI:1225178643
Name:PAN'S ACUPUNCTURE & HERBS LLC
Entity type:Organization
Organization Name:PAN'S ACUPUNCTURE & HERBS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:NING
Authorized Official - Last Name:PAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:215-718-8988
Mailing Address - Street 1:2501 NASHUA RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2260
Mailing Address - Country:US
Mailing Address - Phone:215-718-8988
Mailing Address - Fax:
Practice Address - Street 1:2422 BRISTOL RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-6002
Practice Address - Country:US
Practice Address - Phone:215-718-8988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000632171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty