Healthcare Provider Details

I. General information

NPI: 1083017008
Provider Name (Legal Business Name): MARGARET CASEY L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2014
Last Update Date: 03/13/2023
Certification Date: 03/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 GEORGIA AVE STE 300
SILVER SPRING MD
20910-3614
US

IV. Provider business mailing address

100 DENVER RD
SILVER SPRING MD
20910-5303
US

V. Phone/Fax

Practice location:
  • Phone: 301-408-9873
  • Fax:
Mailing address:
  • Phone: 301-563-3467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU02197
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: