Provider Demographics
NPI:1093312340
Name:HAN HEALTH LLC
Entity Type:Organization
Organization Name:HAN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SONG QING
Authorized Official - Middle Name:
Authorized Official - Last Name:XUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-585-8957
Mailing Address - Street 1:15700 SILVER PKWY APT 205
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-3492
Mailing Address - Country:US
Mailing Address - Phone:510-585-8957
Mailing Address - Fax:
Practice Address - Street 1:4470 JACKSON RD STE 101
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-1882
Practice Address - Country:US
Practice Address - Phone:734-800-4118
Practice Address - Fax:855-858-5245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty