Shou-Yuan Fan, LAC
Acupuncturist in Newark, New Jersey
1003134206- Practice location
- 500 Mount Prospect Ave, Newark, NJ 07104-2904
- Phone
- 973-350-0073
- Fax
- —
- Last updated
- March 29, 2012
Shou-Yuan Fan is an Acupuncturist based in Newark, NJ. Shou-Yuan Fan practices in Newark, NJ and has the professional credentials of LAC. The NPI Number for Shou-Yuan Fan is 1003134206 and holds a License No. 25MZ00073400 (NJ). The current practice location address for Shou-Yuan Fan is 500 Mount Prospect Ave, Newark, NJ 07104-2904 and can be reached out via phone at 973-350-0073.
Provider Profile Details
- NPI Number
- 1003134206
- Provider Name
- Shou-Yuan Fan
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 Mount Prospect Ave, Newark, NJ 07104-2904
- Phone Number
- 973-350-0073
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 12, 2010
- Last Update Date
- March 29, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Mount Prospect Ave
Newark, NJ 07104-2904 - City
- Newark
- State
- New Jersey
- Zip
- 07104-2904
- Phone Number
- 973-350-0073
Provider Business Mailing Address Details
- Address
- 500 Mount Prospect Ave
Newark, NJ 07104-2904 - City
- Newark
- State
- NJ
- Zip
- 07104-2904
License Information
- License Number (1)
- 25MZ00073400
- License State (1)
- NJ
- Taxonomy (1)
- Acupuncturist · 171100000X · Primary
- License Number (2)
- 004232
- License State (2)
- NY
- Taxonomy (2)
- Acupuncturist · 171100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shou-Yuan Fan, LAC?
The NPI number of Shou-Yuan Fan, LAC is 1003134206. It was assigned on May 12, 2010 and is currently active in the NPPES registry.
What is the specialty of Shou-Yuan Fan, LAC?
Shou-Yuan Fan, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00073400.
Where does Shou-Yuan Fan, LAC practice?
The practice location is 500 Mount Prospect Ave, Newark, NJ 07104-2904. The office can be reached at 973-350-0073 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003134206 directly on the NPPES registry website.