IndividualActive
Chengde Fan, LAC
NPI 1497096739 · Acupuncturist · West Hartford, CT
Provider details
- NPI number
- 1497096739
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000182 (CT)
Specialties & taxonomies
Other Service Providers
Practice location
17 Old Meadow Rd
West Hartford, CT 06117-1333
Phone: (860) 523-0248
Approximate (ZIP-level) locationGet directions
Mailing address
17 Old Meadow Rd
West Hartford, CT 06117-1333
Registry dates
- Enumerated
- 2013-03-12
- Last updated
- 2013-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.