Provider Demographics
NPI:1851016158
Name:CHINESE MEDICINE WORKS INC
Entity Type:Organization
Organization Name:CHINESE MEDICINE WORKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MARI
Authorized Official - Middle Name:
Authorized Official - Last Name:MENGARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:540-309-4105
Mailing Address - Street 1:5111 AIRPORT RD NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-1605
Mailing Address - Country:US
Mailing Address - Phone:540-309-4105
Mailing Address - Fax:
Practice Address - Street 1:5111 AIRPORT RD NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-1605
Practice Address - Country:US
Practice Address - Phone:540-309-4105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare