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SHALOM EASTERN MEDICINEINC NPI 1366052664


NPI Information

NPI: 1366052664
Provider Name: SHALOM EASTERN MEDICINE,INC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
3344 SAINT JOHNS LN
ELLICOTT CITY, MD
ZIP 21042
Phone: (301) 814-1211
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SHALOM EASTERN MEDICINE,INC is an acupuncturist in Ellicott City, MD. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. SHALOM EASTERN MEDICINE,INC NPI is 1366052664. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3344 SAINT JOHNS LN
ELLICOTT CITY, MD
ZIP 21042-601
Phone: (301) 814-1211
Fax: (240) 720-4900

The provider's authorized official is Soon S. Park .
The authorized official title is Owner and has the following contact phone number (301) 814-1211.

The enumeration date for this NPI number is 8/3/2020 and was last updated on 8/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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