Provider Demographics
NPI:1033217187
Name:VON DER MUHLL, ANTHONY CHRISTOPHER (LAC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:CHRISTOPHER
Last Name:VON DER MUHLL
Suffix:
Gender:M
Credentials:LAC
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Mailing Address - Street 1:PO BOX 2745
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-2745
Mailing Address - Country:US
Mailing Address - Phone:831-345-4657
Mailing Address - Fax:434-424-1963
Practice Address - Street 1:1110 E MARKET ST STE F15
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5364
Practice Address - Country:US
Practice Address - Phone:800-499-1438
Practice Address - Fax:434-424-1963
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0121001069171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist