Basic Information
| Provider Information | |||||||||
| NPI: | 1295857332 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUANG | ||||||||
| FirstName: | MING | ||||||||
| MiddleName: | JE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2676 E AURORA RD | ||||||||
| Address2: | |||||||||
| City: | TWINSBURG | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440872150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304252477 | ||||||||
| FaxNumber: | 3304252417 | ||||||||
| Practice Location | |||||||||
| Address1: | 2676 E AURORA RD | ||||||||
| Address2: | |||||||||
| City: | TWINSBURG | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440872150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304252477 | ||||||||
| FaxNumber: | 3304252417 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2007 | ||||||||
| LastUpdateDate: | 01/02/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 3017 | OH | Y | Chiropractic Providers | Chiropractor |
No ID Information.