Provider Demographics
NPI:1548766728
Name:TRADITIONAL HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:TRADITIONAL HEALTH SOLUTIONS LLC
Other - Org Name:ACUPUNCTURE FOR EVERY BODY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:PIERRE
Authorized Official - Last Name:NUTHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:410-924-7279
Mailing Address - Street 1:310 S AURORA ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3429
Mailing Address - Country:US
Mailing Address - Phone:410-924-7279
Mailing Address - Fax:
Practice Address - Street 1:403 RACE ST FL 2
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1835
Practice Address - Country:US
Practice Address - Phone:410-924-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty