Provider Demographics
NPI:1801217732
Name:FENG, YIQIN (ACUPUNCTURE)
Entity Type:Individual
Prefix:
First Name:YIQIN
Middle Name:
Last Name:FENG
Suffix:
Gender:F
Credentials:ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13004 BATTALION CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4464
Mailing Address - Country:US
Mailing Address - Phone:301-579-3029
Mailing Address - Fax:866-253-7188
Practice Address - Street 1:932 HUNGERFORD DR, CONTO UNIT F-38A
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-792-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-19
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF-520-955-711-848OtherDRIVER LICENSE