Provider Demographics
NPI:1972140218
Name:STILP, ALOYSIUS MICHAEL (MS L AC DIPL AC)
Entity Type:Individual
Prefix:
First Name:ALOYSIUS
Middle Name:MICHAEL
Last Name:STILP
Suffix:
Gender:M
Credentials:MS L AC DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-0396
Mailing Address - Country:US
Mailing Address - Phone:717-377-4999
Mailing Address - Fax:
Practice Address - Street 1:NEW DAY YOGA & WELLNESS 300 WEST KING ST.
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-1725
Practice Address - Country:US
Practice Address - Phone:717-530-8981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001024171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist