Provider Demographics
NPI:1760665269
Name:EASTERN SHORE ACUPUNCTURE AND HEALING ARTS LLC.
Entity Type:Organization
Organization Name:EASTERN SHORE ACUPUNCTURE AND HEALING ARTS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPER-GIRL
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:CP, MS, LAC
Authorized Official - Phone:410-820-9988
Mailing Address - Street 1:114 N WASHINGTON ST
Mailing Address - Street 2:SUITE 5 & 7
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3170
Mailing Address - Country:US
Mailing Address - Phone:410-820-9988
Mailing Address - Fax:
Practice Address - Street 1:114 N WASHINGTON ST
Practice Address - Street 2:SUITE 5 & 7
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3170
Practice Address - Country:US
Practice Address - Phone:410-820-9988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU0153171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty