Provider Demographics
NPI:1396193058
Name:AMERICAN NATURAL HEALTH CARE AND MEDICINE, LLC
Entity Type:Organization
Organization Name:AMERICAN NATURAL HEALTH CARE AND MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:SHUNYU
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-589-9349
Mailing Address - Street 1:365 E MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2913
Mailing Address - Country:US
Mailing Address - Phone:203-589-9349
Mailing Address - Fax:888-729-5733
Practice Address - Street 1:365 E MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2913
Practice Address - Country:US
Practice Address - Phone:203-589-9349
Practice Address - Fax:888-729-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000363261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center