Provider Demographics
NPI:1811317274
Name:CHI SHENG ACUPUNCTURE CHINESE HERBS
Entity type:Organization
Organization Name:CHI SHENG ACUPUNCTURE CHINESE HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PEI FEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-939-9732
Mailing Address - Street 1:150 IROQUOIS DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-4214
Mailing Address - Country:US
Mailing Address - Phone:303-939-9732
Mailing Address - Fax:303-938-0687
Practice Address - Street 1:607 S BROADWAY ST
Practice Address - Street 2:SUITE #C
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5956
Practice Address - Country:US
Practice Address - Phone:303-939-9732
Practice Address - Fax:303-938-0687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO233171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty