Provider Demographics
NPI:1124578026
Name:HONGQI ACUPUNCTURE & WELLNESS CENTER
Entity Type:Organization
Organization Name:HONGQI ACUPUNCTURE & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:QI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:860-287-3796
Mailing Address - Street 1:26 SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:EAST LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06333-1347
Mailing Address - Country:US
Mailing Address - Phone:860-287-3796
Mailing Address - Fax:860-691-0688
Practice Address - Street 1:131 BOSTON POST RD
Practice Address - Street 2:MAILBOX 273
Practice Address - City:EAST LYME
Practice Address - State:CT
Practice Address - Zip Code:06333-1605
Practice Address - Country:US
Practice Address - Phone:860-287-3796
Practice Address - Fax:860-691-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT291171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty