Provider Demographics
NPI:1942593025
Name:XIAO, JING (L AC)
Entity Type:Individual
Prefix:MRS
First Name:JING
Middle Name:
Last Name:XIAO
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6877 N HIGH ST STE 302
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43085
Mailing Address - Country:US
Mailing Address - Phone:614-264-1086
Mailing Address - Fax:614-985-3111
Practice Address - Street 1:6877 N HIGH ST STE 302
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2543
Practice Address - Country:US
Practice Address - Phone:614-264-1086
Practice Address - Fax:614-985-3111
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000162171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist