Provider Demographics
NPI:1013473487
Name:ZHONG, XIN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:XIN
Middle Name:
Last Name:ZHONG
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 WILLOW GROVE LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2555
Mailing Address - Country:US
Mailing Address - Phone:989-992-8564
Mailing Address - Fax:989-799-9862
Practice Address - Street 1:2565 S ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4472
Practice Address - Country:US
Practice Address - Phone:248-672-2998
Practice Address - Fax:989-799-9862
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5402000282171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7501000660OtherMASSAGE THERAPY