Provider Demographics
NPI:1164752424
Name:XU'S ACUPUNCTURE & CHINESE HERBS
Entity Type:Organization
Organization Name:XU'S ACUPUNCTURE & CHINESE HERBS
Other - Org Name:FAMILY ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YIMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:515-252-0588
Mailing Address - Street 1:8711 WINDSOR PKWY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2296
Mailing Address - Country:US
Mailing Address - Phone:515-252-0588
Mailing Address - Fax:515-252-9926
Practice Address - Street 1:8711 WINDSOR PKWY
Practice Address - Street 2:SUITE 8
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2296
Practice Address - Country:US
Practice Address - Phone:515-252-0588
Practice Address - Fax:515-252-9926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-10
Last Update Date:2010-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty