Provider Demographics
NPI:1891062253
Name:ACUPUNCTURE BY CHEN INC.
Entity Type:Organization
Organization Name:ACUPUNCTURE BY CHEN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC.
Authorized Official - Prefix:
Authorized Official - First Name:SHIXI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-538-0983
Mailing Address - Street 1:4610 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2247
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4610 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2247
Practice Address - Country:US
Practice Address - Phone:614-538-0983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000004171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000239209OtherANTHEM/BLUECROSS
OH00070977374OtherAETNA
OH23-00545OtherUNITED HEALTHCARE
OH118330OtherNATIONWIDE
OH00070977374OtherAETNA
OH=========-00OtherBWC
OH=========OtherHUMANA
OH=========OtherUNICARE
OH=========OtherNGS AMERICAN