Provider Demographics
NPI:1649341348
Name:CHINA HEALTH WAY, INC
Entity type:Organization
Organization Name:CHINA HEALTH WAY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOM
Authorized Official - Prefix:
Authorized Official - First Name:JIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GUO
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:610-526-9598
Mailing Address - Street 1:26 SUMMIT GROVE AVE
Mailing Address - Street 2:SUITE 26
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3230
Mailing Address - Country:US
Mailing Address - Phone:610-526-9598
Mailing Address - Fax:610-527-1599
Practice Address - Street 1:26 SUMMIT GROVE AVE
Practice Address - Street 2:SUITE 26
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3230
Practice Address - Country:US
Practice Address - Phone:610-526-9598
Practice Address - Fax:610-527-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000017171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty