Provider Demographics
NPI:1164805586
Name:SHIRLEY MCWILLIAMS ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:SHIRLEY MCWILLIAMS ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCWILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:559-213-5185
Mailing Address - Street 1:1930 HOWARD RD STE 109
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5155
Mailing Address - Country:US
Mailing Address - Phone:559-213-5185
Mailing Address - Fax:559-474-8921
Practice Address - Street 1:1930 HOWARD RD STE 109
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5155
Practice Address - Country:US
Practice Address - Phone:559-213-5185
Practice Address - Fax:559-474-8921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7530171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1346312691OtherINDIVIDUAL NPI