ENERGY BASE LLC NPI 1912587239

NPI Information

  • NPI: 1912587239
  • Provider Name: ENERGY BASE LLC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Organization
  • Address: 1629 CROFTON CTR STE 18
    CROFTON, MD
    ZIP 21114
  • Phone: (301) 580-4585

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NPI Details

ENERGY BASE LLC is an acupuncturist in Crofton, 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. ENERGY BASE LLC NPI is 1912587239. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1629 CROFTON CTR STE 18
CROFTON, MD
ZIP 21114-318
Phone: (301) 580-4585
Fax: (240) 366-5954

The provider's authorized official is Tiaa C. Hartley .
The authorized official title is Owner and has the following contact phone number (301) 580-4585.

The enumeration date for this NPI number is 4/12/2021 and was last updated on 9/28/2021.

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
1171400000XHealth and Wellness CoachNo
2171100000XAcupuncturistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1764013700MEDICAIDMARYLAND

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: 11/21/2025

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