Provider Demographics
NPI:1992153795
Name:SHI, HAIMING (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:HAIMING
Middle Name:
Last Name:SHI
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 1:7605 SE 27TH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2852
Mailing Address - Country:US
Mailing Address - Phone:206-519-9039
Mailing Address - Fax:
Practice Address - Street 1:7605 SE 27TH ST STE 103
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2852
Practice Address - Country:US
Practice Address - Phone:206-519-9039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-02
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60654589225700000X
WAAC60696857171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty