Provider Demographics
NPI:1275172819
Name:ORIENTAL WELLNESS & ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:ORIENTAL WELLNESS & ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUI
Authorized Official - Middle Name:
Authorized Official - Last Name:WENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD, LAC, MBA
Authorized Official - Phone:262-412-4325
Mailing Address - Street 1:5944 WAKEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-5252
Mailing Address - Country:US
Mailing Address - Phone:262-412-4325
Mailing Address - Fax:
Practice Address - Street 1:5944 WAKEFIELD AVE
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-5252
Practice Address - Country:US
Practice Address - Phone:262-412-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty