Provider Demographics
NPI:1801132154
Name:SHING, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SHING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WOODBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-4922
Mailing Address - Country:US
Mailing Address - Phone:408-483-2819
Mailing Address - Fax:
Practice Address - Street 1:100 WOODBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-4922
Practice Address - Country:US
Practice Address - Phone:408-483-2819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15127171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist