Provider Demographics
NPI:1730523135
Name:HAN'S CHINESE MEDICINE INC.
Entity type:Organization
Organization Name:HAN'S CHINESE MEDICINE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:QINGHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:941-486-1555
Mailing Address - Street 1:7932 MEADOW RUSH LOOP
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-4318
Mailing Address - Country:US
Mailing Address - Phone:941-486-1555
Mailing Address - Fax:941-924-2278
Practice Address - Street 1:389 COMMERCIAL CT
Practice Address - Street 2:SUITEB
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-1617
Practice Address - Country:US
Practice Address - Phone:941-486-1555
Practice Address - Fax:941-924-2278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP928171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty