Provider Demographics
NPI:1821261645
Name:CHEN, HONG (ACUPUNCTRIST)
Entity Type:Individual
Prefix:MS
First Name:HONG
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:ACUPUNCTRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-0121
Mailing Address - Country:US
Mailing Address - Phone:937-644-2609
Mailing Address - Fax:614-825-6255
Practice Address - Street 1:6685 DOUBLETREE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1113
Practice Address - Country:US
Practice Address - Phone:937-644-2609
Practice Address - Fax:614-825-6279
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-12
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH99171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist