Healthcare Provider Details
I. General information
NPI: 1336372408
Provider Name (Legal Business Name): CATHERINE HO L.AC, DIPL. AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/24/2009
Last Update Date: 08/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3208 N. HIGH STREET
COLUMBUS OH
43202-1114
US
IV. Provider business mailing address
3208 N. HIGH STREET
COLUMBUS OH
43202-1114
US
V. Phone/Fax
- Phone: 614-354-1156
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | 65.000172 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: