Provider Demographics
NPI:1467688978
Name:JIANG, XINSHENG (OMD, LAC)
Entity Type:Individual
Prefix:MRS
First Name:XINSHENG
Middle Name:
Last Name:JIANG
Suffix:
Gender:F
Credentials:OMD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11927 OLIVE BLVD.
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6188
Mailing Address - Country:US
Mailing Address - Phone:314-997-8000
Mailing Address - Fax:314-997-8000
Practice Address - Street 1:11927 OLIVE BLVD.
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6188
Practice Address - Country:US
Practice Address - Phone:314-997-8000
Practice Address - Fax:314-997-8000
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002014340171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist