Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC011628 | PA |
NPI | 1003495797 |
---|---|
Provider Name | Qin Ji |
First Address | Lancaster, PA 17602-1538 |
Second Address | Quarryville, PA 17566-9458 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2021 |
Last Update Date | 07/04/2021 |