Provider Demographics
NPI:1093835050
Name:TAI KANG INC
Entity Type:Organization
Organization Name:TAI KANG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOILEAU
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:509-536-8484
Mailing Address - Street 1:PO BOX 8723
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-0723
Mailing Address - Country:US
Mailing Address - Phone:509-536-8484
Mailing Address - Fax:509-536-7911
Practice Address - Street 1:1225 E ROCKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3315
Practice Address - Country:US
Practice Address - Phone:509-536-8484
Practice Address - Fax:509-536-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC654171100000X
WANT972175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Not Answered175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty