Provider Demographics
NPI:1972785913
Name:ASIAN INSTITUTE OF HEALING ARTS, P.C.
Entity Type:Organization
Organization Name:ASIAN INSTITUTE OF HEALING ARTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORA
Authorized Official - Middle Name:T
Authorized Official - Last Name:CANTEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:570-839-1898
Mailing Address - Street 1:315 POCONO BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT POCONO
Mailing Address - State:PA
Mailing Address - Zip Code:18344-1415
Mailing Address - Country:US
Mailing Address - Phone:570-839-1898
Mailing Address - Fax:570-839-2879
Practice Address - Street 1:315 POCONO BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT POCONO
Practice Address - State:PA
Practice Address - Zip Code:18344-1415
Practice Address - Country:US
Practice Address - Phone:570-839-1898
Practice Address - Fax:570-839-2879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-01
Last Update Date:2007-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004861L111N00000X
PADC004835L111N00000X
PAAK000651171100000X
PAAK000652171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA065028Medicare UPIN