Provider Demographics
NPI:1932300902
Name:CHA, JOSEPH SHININ (LAC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SHININ
Last Name:CHA
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14465 WEBB CHAPEL RD STE 120
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-3667
Mailing Address - Country:US
Mailing Address - Phone:972-417-1707
Mailing Address - Fax:
Practice Address - Street 1:14465 WEBB CHAPEL RD STE 120
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-3667
Practice Address - Country:US
Practice Address - Phone:972-417-1707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000589171100000X
CAAC 11621171100000X
IL198.000977171100000X
TXAC01609171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist