Healthcare Provider Details
I. General information
NPI: 1215778782
Provider Name (Legal Business Name): ZEVERGY ACUPUNCTURE & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2024
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2790 MAPLEWOOD DR
COLUMBUS OH
43231-4858
US
IV. Provider business mailing address
2790 MAPLEWOOD DR
COLUMBUS OH
43231-4858
US
V. Phone/Fax
- Phone: 614-571-0721
- Fax:
- Phone: 614-571-0721
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ABRA
L.
GREENBERG
Title or Position: OWNER
Credential: MED, DNP, LAC, CNP
Phone: 614-524-5889