Provider Demographics
NPI:1083918684
Name:SUH, HOJUNG (L AC)
Entity Type:Individual
Prefix:MISS
First Name:HOJUNG
Middle Name:
Last Name:SUH
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6272 S BILLINGS WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6009
Mailing Address - Country:US
Mailing Address - Phone:720-255-8082
Mailing Address - Fax:
Practice Address - Street 1:6272 S BILLINGS WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6009
Practice Address - Country:US
Practice Address - Phone:720-255-8082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU1630171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist