Acupuncture Medical Practice
Acupuncturist in Philadelphia, PA. Organization (NPI-2).
NPI number1134586159
StatusActive
Last updated in NPPESJan 21, 2016
Details
- NPI
- 1134586159
- Entity type
- Organization (NPI-2)
- Legal business name
- Acupuncture Medical Practice
- Organization subpart
- No
- Enumeration date
- Jan 21, 2016
- Last updated
- Jan 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | OM000033 | PA | Yes |
Other names
- Green Healing Center (Doing Business As)
Practice location
1737 Chestnut St Ste 200Philadelphia, PA 19103-4108
Phone 215-751-9833 · Fax 215-575-0454
Mailing address
1737 Chestnut St Ste 200Philadelphia, PA 19103-4108
Phone 215-751-9833 · Fax 215-575-0454
Authorized official
Qingyao Shi
Acupuncturist
2157519833
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