Provider Demographics
NPI:1366987265
Name:ZHANG, JING
Entity type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 E SANOQUE CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-6124
Mailing Address - Country:US
Mailing Address - Phone:720-503-5711
Mailing Address - Fax:602-926-8841
Practice Address - Street 1:2301 E SANOQUE CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-6124
Practice Address - Country:US
Practice Address - Phone:720-503-5711
Practice Address - Fax:602-926-8841
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-31
Last Update Date:2016-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic