Provider Demographics
NPI:1760640767
Name:HWANG, RICHARD (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:HWANG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:HAI-YUAN
Other - Middle Name:
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND IDAHO ACUPUNCTURI
Mailing Address - Street 1:2205 BROADWATER AV
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4713
Mailing Address - Country:US
Mailing Address - Phone:406-652-3820
Mailing Address - Fax:406-652-3820
Practice Address - Street 1:2205 BROADWATER AV
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4713
Practice Address - Country:US
Practice Address - Phone:406-652-3820
Practice Address - Fax:406-652-3820
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA678171100000X
MT21171100000X
NM041171100000X
UT2342014171100000X
DC1883171100000X
ID1485175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath