Provider Demographics
NPI:1962805572
Name:ZHANG, JIANCHAO (ACUPUNCTURIST)
Entity type:Individual
Prefix:DR
First Name:JIANCHAO
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 STEFFI DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9620
Mailing Address - Country:US
Mailing Address - Phone:614-580-2161
Mailing Address - Fax:614-441-4580
Practice Address - Street 1:2121 STEFFI DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-9620
Practice Address - Country:US
Practice Address - Phone:614-580-2161
Practice Address - Fax:614-441-4580
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-28
Last Update Date:2014-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000284171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist