Provider Demographics
NPI:1437210697
Name:NEUROLOGY & ACUPUNCTURE CLINC PLC
Entity Type:Organization
Organization Name:NEUROLOGY & ACUPUNCTURE CLINC PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEHLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-745-7555
Mailing Address - Street 1:15154 CARROLLTON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CARROLLTON
Mailing Address - State:VA
Mailing Address - Zip Code:23314-2316
Mailing Address - Country:US
Mailing Address - Phone:757-745-7555
Mailing Address - Fax:757-745-7559
Practice Address - Street 1:1520 BREEZEPORT WAY
Practice Address - Street 2:SUITE 600
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435
Practice Address - Country:US
Practice Address - Phone:757-638-3316
Practice Address - Fax:757-295-0859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012292522084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty