Provider Demographics
NPI:1003466475
Name:OMD ACUPUNCTURE &HERBAL CARE, LLC
Entity Type:Organization
Organization Name:OMD ACUPUNCTURE &HERBAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HSIA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:410-299-9666
Mailing Address - Street 1:3640 CHATHAM RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-3926
Mailing Address - Country:US
Mailing Address - Phone:410-299-9666
Mailing Address - Fax:410-465-5289
Practice Address - Street 1:10760 HICKORY RIDGE RD STE 117
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3682
Practice Address - Country:US
Practice Address - Phone:410-299-9666
Practice Address - Fax:410-465-5289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty