Provider Demographics
NPI:1477893469
Name:GOLDEN CABINET, LLC
Entity Type:Organization
Organization Name:GOLDEN CABINET, LLC
Other - Org Name:GOLDEN CABINET ACUPUNCTURE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAUFELE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:484-707-0468
Mailing Address - Street 1:1 ALEXANDER RD
Mailing Address - Street 2:
Mailing Address - City:KINTNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18930-9800
Mailing Address - Country:US
Mailing Address - Phone:484-707-0468
Mailing Address - Fax:
Practice Address - Street 1:8789 EASTON ROAD
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:PA
Practice Address - Zip Code:18953
Practice Address - Country:US
Practice Address - Phone:484-707-0468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAKO000654171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty