Healthcare Provider Details

I. General information

NPI: 1750873378
Provider Name (Legal Business Name): ACUPUNCTURE AND APOTHECARY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 05/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1829 E FRANKLIN ST STE 900C
CHAPEL HILL NC
27514-5869
US

IV. Provider business mailing address

1829 E FRANKLIN ST STE 900C
CHAPEL HILL NC
27514-5869
US

V. Phone/Fax

Practice location:
  • Phone: 919-241-5395
  • Fax: 877-867-3717
Mailing address:
  • Phone: 919-241-5395
  • Fax: 877-867-3717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-951
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ABIGAIL WEAR
Title or Position: ACUPUNCTURIST AND HERBALIST
Credential: LAC
Phone: 919-672-6132