Provider Demographics
NPI:1568663664
Name:CHIN, PEI CHUN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:PEI
Middle Name:CHUN
Last Name:CHIN
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 1:4410 W 98TH STREET CIR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2146
Mailing Address - Country:US
Mailing Address - Phone:942-941-4789
Mailing Address - Fax:
Practice Address - Street 1:4410 W 98TH STREET CIR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2146
Practice Address - Country:US
Practice Address - Phone:942-941-4789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1252171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist