Provider Demographics
NPI:1902194681
Name:EDWARD CHIU LLC
Entity Type:Organization
Organization Name:EDWARD CHIU LLC
Other - Org Name:VANCOUVER ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:360-892-6889
Mailing Address - Street 1:12407 SE 2ND CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6064
Mailing Address - Country:US
Mailing Address - Phone:360-892-6889
Mailing Address - Fax:360-892-2772
Practice Address - Street 1:12407 SE 2ND CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6064
Practice Address - Country:US
Practice Address - Phone:360-892-6889
Practice Address - Fax:360-892-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002694171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty