Provider Demographics
NPI:1174750194
Name:CINDY AHN, L.AC.
Entity type:Organization
Organization Name:CINDY AHN, L.AC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SEONG
Authorized Official - Middle Name:YUN
Authorized Official - Last Name:AHN
Authorized Official - Suffix:
Authorized Official - Credentials:DIPL AC
Authorized Official - Phone:248-561-1213
Mailing Address - Street 1:4415 BRANDYWYNE DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4279
Mailing Address - Country:US
Mailing Address - Phone:248-561-1213
Mailing Address - Fax:
Practice Address - Street 1:47100 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-4716
Practice Address - Country:US
Practice Address - Phone:586-685-0505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty