Provider Demographics
NPI:1487841219
Name:TANG HOLISTIC CHIROPRACTIC PA
Entity Type:Organization
Organization Name:TANG HOLISTIC CHIROPRACTIC PA
Other - Org Name:TANG HOLISTIC CHIROPRACTIC & ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:HUI WEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-296-6866
Mailing Address - Street 1:2889 10TH AVE N
Mailing Address - Street 2:SUITE 303
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3045
Mailing Address - Country:US
Mailing Address - Phone:561-296-6866
Mailing Address - Fax:561-296-6869
Practice Address - Street 1:2889 10TH AVE N
Practice Address - Street 2:SUITE 303
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3045
Practice Address - Country:US
Practice Address - Phone:561-296-6866
Practice Address - Fax:561-296-6869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8478111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7098OtherSENDER NUMBER
FLK7098OtherSENDER NUMBER
FLU2234AMedicare UPIN