Seung Ahn

Individual provider Active NPI Acupuncturist · Sharon, PA

NPI 1386835015 · NPPES record last updated Aug 7, 2007

Key facts

NPI
1386835015
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AK000787 (PA)
Practice address
44 S Water Ave
Sharon, PA 16146-1366
Phone
(847) 840-2389
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
198.000572ILMDAcupuncturist
65.000089OHMDAcupuncturist
AK000787PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK000787 PA Yes
Acupuncturist 171100000X 198.000572 IL
Acupuncturist 171100000X 65.000089 OH

Addresses

Primary practice location

44 S Water Ave
Sharon, PA 16146-1366

Mailing address

44 S Water Ave
Sharon, PA 16146-1366
Phone (847) 840-2389

Other providers in Sharon, PA

All providers in Sharon, PA · Acupuncturist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.