Provider Demographics
NPI:1730347493
Name:HAN, SANG HUN (LAC)
Entity type:Individual
Prefix:
First Name:SANG HUN
Middle Name:
Last Name:HAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 BROWERTOWN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2663
Mailing Address - Country:US
Mailing Address - Phone:973-837-8300
Mailing Address - Fax:
Practice Address - Street 1:279 BROWERTOWN RD STE 100
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2663
Practice Address - Country:US
Practice Address - Phone:973-837-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010949111NN0400X
IL198000649171100000X
NY005193-1171100000X
NJ25MZ00116900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111NN0400XChiropractic ProvidersChiropractorNeurology