Provider Demographics
NPI:1477694461
Name:CHOU, KUAN-CHUNG (LAC)
Entity Type:Individual
Prefix:MR
First Name:KUAN-CHUNG
Middle Name:
Last Name:CHOU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 ARLINGTON BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2903
Mailing Address - Country:US
Mailing Address - Phone:703-829-3536
Mailing Address - Fax:703-992-8771
Practice Address - Street 1:8303 ARLINGTON BLVD STE 210
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2903
Practice Address - Country:US
Practice Address - Phone:703-829-3536
Practice Address - Fax:703-992-8771
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000385171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist