Provider Demographics
NPI:1003568767
Name:XIONG, BEE
Entity Type:Individual
Prefix:
First Name:BEE
Middle Name:
Last Name:XIONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 ASH ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-1810
Mailing Address - Country:US
Mailing Address - Phone:715-220-3648
Mailing Address - Fax:
Practice Address - Street 1:2003 ASH ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-1810
Practice Address - Country:US
Practice Address - Phone:715-220-3648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program