Provider Demographics
NPI:1043696628
Name:BRAASCH ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:BRAASCH ACUPUNCTURE, LLC
Other - Org Name:BRAASCH ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BRAASCH
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:412-400-8135
Mailing Address - Street 1:1817 MURDOCH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1531
Mailing Address - Country:US
Mailing Address - Phone:412-400-8135
Mailing Address - Fax:888-977-9201
Practice Address - Street 1:2301 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2355
Practice Address - Country:US
Practice Address - Phone:412-400-8135
Practice Address - Fax:888-977-9201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000161171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty