Provider Demographics
NPI:1811437965
Name:WU'S ACUPUNCTURE & CHINESE HERBAL MEDICINE
Entity type:Organization
Organization Name:WU'S ACUPUNCTURE & CHINESE HERBAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEI
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:434-270-5922
Mailing Address - Street 1:3304 TURNBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-7485
Mailing Address - Country:US
Mailing Address - Phone:434-270-5922
Mailing Address - Fax:
Practice Address - Street 1:2114 ANGUS RD
Practice Address - Street 2:SUITE #213
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2768
Practice Address - Country:US
Practice Address - Phone:434-270-5922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000802261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service