Provider Demographics
NPI:1891822904
Name:CUI, YAN
Entity Type:Individual
Prefix:MR
First Name:YAN
Middle Name:
Last Name:CUI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6990 W 38TH AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4977
Mailing Address - Country:US
Mailing Address - Phone:303-941-5503
Mailing Address - Fax:303-463-5399
Practice Address - Street 1:6990 W 38TH AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4977
Practice Address - Country:US
Practice Address - Phone:303-941-5503
Practice Address - Fax:303-463-5399
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1002171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist