Provider Demographics
NPI:1013036771
Name:SHE, YU (LIC AC, DIPL AC,)
Entity Type:Individual
Prefix:MISS
First Name:YU
Middle Name:
Last Name:SHE
Suffix:
Gender:F
Credentials:LIC AC, DIPL AC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8928 DAWSON MANOR DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043
Mailing Address - Country:US
Mailing Address - Phone:410-227-0488
Mailing Address - Fax:
Practice Address - Street 1:8928 DAWSON MANOR DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043
Practice Address - Country:US
Practice Address - Phone:410-227-0488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU001018171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDBP04YOtherACUPUNCTURE PROCEDURE
MDJ3570001OtherACUPUNCTURE PROCEDURE