Provider Demographics
NPI:1265512974
Name:HAN, QINGHONG (L AC)
Entity type:Individual
Prefix:
First Name:QINGHONG
Middle Name:
Last Name:HAN
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 1:7932 MEADOW RUSH LOOP
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-4318
Mailing Address - Country:US
Mailing Address - Phone:941-486-1555
Mailing Address - Fax:
Practice Address - Street 1:389 COMMERCIAL COURT
Practice Address - Street 2:SUITE B
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292
Practice Address - Country:US
Practice Address - Phone:941-486-1555
Practice Address - Fax:941-924-2278
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP928171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist