Provider Demographics
NPI:1083153308
Name:JING ACUPUNCTURE SERVICE LLC
Entity Type:Organization
Organization Name:JING ACUPUNCTURE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUJING
Authorized Official - Middle Name:
Authorized Official - Last Name:DAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-210-7977
Mailing Address - Street 1:3322 US HIGHWAY 22, BLDG 8, 805
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG,
Mailing Address - State:NJ
Mailing Address - Zip Code:08876
Mailing Address - Country:US
Mailing Address - Phone:908-210-7977
Mailing Address - Fax:908-722-3976
Practice Address - Street 1:3322 US HIGHWAY 22, BLDG 8, 805
Practice Address - Street 2:
Practice Address - City:BRANCHBURG,
Practice Address - State:NJ
Practice Address - Zip Code:08876
Practice Address - Country:US
Practice Address - Phone:908-210-7977
Practice Address - Fax:908-722-3976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00120400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty