Provider Demographics
NPI:1417536202
Name:PEOPLE'S CHOICE ACUPUNCTURE CENTER, LLC
Entity Type:Organization
Organization Name:PEOPLE'S CHOICE ACUPUNCTURE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:CHADWICK
Authorized Official - Middle Name:EMERSON
Authorized Official - Last Name:MOYER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:541-482-1060
Mailing Address - Street 1:1640 SISKIYOU BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2426
Mailing Address - Country:US
Mailing Address - Phone:541-482-1060
Mailing Address - Fax:
Practice Address - Street 1:1640 SISKIYOU BLVD STE C
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2426
Practice Address - Country:US
Practice Address - Phone:541-482-1060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty