Provider Demographics
NPI:1184087116
Name:FREE SPIRIT ACUPUNCTURE
Entity type:Organization
Organization Name:FREE SPIRIT ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCURIS
Authorized Official - Prefix:DR
Authorized Official - First Name:YUHE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCURE
Authorized Official - Phone:412-225-5394
Mailing Address - Street 1:1111 SHAWNEE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024-2357
Mailing Address - Country:US
Mailing Address - Phone:412-225-5394
Mailing Address - Fax:
Practice Address - Street 1:1111 SHAWNEE RIDGE DR
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-2357
Practice Address - Country:US
Practice Address - Phone:412-225-5394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YUHE ZHAO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001181261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center