Provider Demographics
NPI:1811202682
Name:YIN, ZHAOBAO (LAC, MD, PHD)
Entity Type:Individual
Prefix:
First Name:ZHAOBAO
Middle Name:
Last Name:YIN
Suffix:
Gender:M
Credentials:LAC, MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 ASPEN GROVE DR STE 404
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4834
Mailing Address - Country:US
Mailing Address - Phone:615-525-8966
Mailing Address - Fax:615-778-0809
Practice Address - Street 1:3326 ASPEN GROVE DR STE 404
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4834
Practice Address - Country:US
Practice Address - Phone:615-525-8966
Practice Address - Fax:615-778-0809
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN146171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist