Provider Demographics
NPI:1255380374
Name:CHENG, WAI WEN (DC)
Entity type:Individual
Prefix:DR
First Name:WAI WEN
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1422 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1606
Mailing Address - Country:US
Mailing Address - Phone:215-443-5626
Mailing Address - Fax:215-443-5973
Practice Address - Street 1:1422 EASTON RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-1606
Practice Address - Country:US
Practice Address - Phone:215-443-5626
Practice Address - Fax:215-443-5973
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008916111N00000X
NJ38MC00632500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1665081OtherINDEPENDENT BLUE CROSS ID
PA2340954000OtherKEYSTONE HEALTH PLAN EAST
PA3982755OtherAETNA HMO
PA7056730OtherAETNA PPO