Provider Demographics
NPI:1942802400
Name:S&A ACUPUNCTURE
Entity Type:Organization
Organization Name:S&A ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHU-LI
Authorized Official - Middle Name:TSENG
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:321-639-7066
Mailing Address - Street 1:154 SOUTH WOODS DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3262
Mailing Address - Country:US
Mailing Address - Phone:321-639-7066
Mailing Address - Fax:321-639-7091
Practice Address - Street 1:154 SOUTH WOODS DRIVE
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3262
Practice Address - Country:US
Practice Address - Phone:321-639-7066
Practice Address - Fax:321-639-7091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty