Provider Demographics
NPI:1073196507
Name:CAOLIACCUPUNCTURE.LLC
Entity Type:Organization
Organization Name:CAOLIACCUPUNCTURE.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-290-8535
Mailing Address - Street 1:2568 LOG MILL CT
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1861
Mailing Address - Country:US
Mailing Address - Phone:202-290-8535
Mailing Address - Fax:
Practice Address - Street 1:1438 DEFENSE HWY STE 103
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-2021
Practice Address - Country:US
Practice Address - Phone:443-527-1095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty