MEDICARE: MISS CATHERINE HO L.AC, DIPL. AC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	65.000172	OH

General Provider Information

NPI Number	:	1336372408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CATHERINE HO L.AC, DIPL. AC

Provider Business Mailing Address
First Line	:	3208 N. HIGH STREET
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 N. HIGH STREET
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1114
Country	:	US
Telephone Number	:	614-354-1156
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	08/24/2009

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