Irina Kan, LAC
Acupuncturist in Montclair, New Jersey
1043080260- Practice location
- 39 S Fullerton Ave Ste 1, Montclair, NJ 07042-6303
- Phone
- 201-622-6289
- Fax
- 973-680-4875
- Last updated
- January 8, 2024
Irina Kan is an Acupuncturist based in Montclair, NJ. Irina Kan practices in Montclair, NJ and has the professional credentials of LAC. The NPI Number for Irina Kan is 1043080260 and holds a License No. 25MZ00163700 (NJ). The current practice location address for Irina Kan is 39 S Fullerton Ave Ste 1, Montclair, NJ 07042-6303 and can be reached out via phone at 201-622-6289 and via fax at 973-680-4875.
Provider Profile Details
- NPI Number
- 1043080260
- Provider Name
- Irina Kan
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 39 S Fullerton Ave Ste 1, Montclair, NJ 07042-6303
- Phone Number
- 201-622-6289
- Fax Number
- 973-680-4875
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 8, 2024
- Last Update Date
- January 8, 2024
- Certification Date
- January 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 S Fullerton Ave Ste 1
Montclair, NJ 07042-6303 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-6303
- Phone Number
- 201-622-6289
- Fax Number
- 973-680-4875
Provider Business Mailing Address Details
- Address
- 39 S Fullerton Ave Ste 1
Montclair, NJ 07042-6303 - City
- Montclair
- State
- NJ
- Zip
- 07042-6303
- Phone Number
- 201-622-6289
- Fax Number
- 973-680-4875
License Information
- License Number
- 25MZ00163700
- License State
- NJ
- Taxonomy
- Acupuncturist · 171100000X · Primary
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 Irina Kan, LAC?
The NPI number of Irina Kan, LAC is 1043080260. It was assigned on January 8, 2024 and is currently active in the NPPES registry.
What is the specialty of Irina Kan, LAC?
Irina Kan, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25MZ00163700.
Where does Irina Kan, LAC practice?
The practice location is 39 S Fullerton Ave Ste 1, Montclair, NJ 07042-6303. The office can be reached at 201-622-6289 (phone) or 973-680-4875 (fax).
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 1043080260 directly on the NPPES registry website.