Provider Demographics
NPI:1760299820
Name:HEALTHQI ACUPUNCTURE
Entity type:Organization
Organization Name:HEALTHQI ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:PUN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:612-412-4490
Mailing Address - Street 1:4900 HIGHWAY 169 N STE 103
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55428-4032
Mailing Address - Country:US
Mailing Address - Phone:612-412-4490
Mailing Address - Fax:
Practice Address - Street 1:4900 HIGHWAY 169 N STE 103
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55428-4032
Practice Address - Country:US
Practice Address - Phone:612-412-4490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist