Provider Demographics
NPI:1265769434
Name:ST.MICHAEL HOSPITAL
Entity type:Organization
Organization Name:ST.MICHAEL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:86216-278-1181
Mailing Address - Street 1:388 HONG BAO SHI ROAD
Mailing Address - Street 2:4 FLOOR
Mailing Address - City:SHANGHAI
Mailing Address - State:SHANGHAI
Mailing Address - Zip Code:200336
Mailing Address - Country:CN
Mailing Address - Phone:86216-278-1181
Mailing Address - Fax:86216-278-1182
Practice Address - Street 1:388 HONG BAO SHI ROAD
Practice Address - Street 2:4 FLOOR
Practice Address - City:SHANGHAI
Practice Address - State:SHANGHAI
Practice Address - Zip Code:200336
Practice Address - Country:CN
Practice Address - Phone:86216-278-1181
Practice Address - Fax:86216-278-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital