Provider Demographics
NPI:1477628444
Name:ZHAO, SHI XUE (CERTIFIED ACUPUNCTUR)
Entity type:Individual
Prefix:MR
First Name:SHI
Middle Name:XUE
Last Name:ZHAO
Suffix:
Gender:M
Credentials:CERTIFIED ACUPUNCTUR
Other - Prefix:MR
Other - First Name:STEPHEN
Other - Middle Name:
Other - Last Name:ZHAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CERTIFIED ACUPUNCTUR
Mailing Address - Street 1:1564 MONTGOMERY HWY
Mailing Address - Street 2:UNIT E
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4532
Mailing Address - Country:US
Mailing Address - Phone:205-822-5552
Mailing Address - Fax:205-822-5552
Practice Address - Street 1:1564 MONTGOMERY HWY
Practice Address - Street 2:UNIT E
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-4532
Practice Address - Country:US
Practice Address - Phone:205-822-5552
Practice Address - Fax:205-822-5552
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
005786171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist