Provider Demographics
NPI:1174655310
Name:CHOI, SIN IL (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:SIN
Middle Name:IL
Last Name:CHOI
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4929 EVERHART ROAD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-3923
Mailing Address - Country:US
Mailing Address - Phone:361-853-2299
Mailing Address - Fax:
Practice Address - Street 1:4929 EVERHART ROAD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-3923
Practice Address - Country:US
Practice Address - Phone:361-853-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00050171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist