Provider Demographics
NPI:1295857332
Name:HUANG, MING JE (DC)
Entity Type:Individual
Prefix:DR
First Name:MING
Middle Name:JE
Last Name:HUANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2676 E AURORA RD
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2150
Mailing Address - Country:US
Mailing Address - Phone:330-425-2477
Mailing Address - Fax:330-425-2417
Practice Address - Street 1:2676 E AURORA RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2150
Practice Address - Country:US
Practice Address - Phone:330-425-2477
Practice Address - Fax:330-425-2417
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHU4057173Medicare PIN
OHU86256Medicare UPIN
OHIN9353921Medicare PIN