Healthcare Provider Details

I. General information

NPI: 1417536202
Provider Name (Legal Business Name): PEOPLE'S CHOICE ACUPUNCTURE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 SISKIYOU BLVD STE C
ASHLAND OR
97520-2426
US

IV. Provider business mailing address

1640 SISKIYOU BLVD STE C
ASHLAND OR
97520-2426
US

V. Phone/Fax

Practice location:
  • Phone: 541-482-1060
  • Fax:
Mailing address:
  • Phone: 541-482-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: CHADWICK EMERSON MOYER
Title or Position: OWNER & ACUPUNCTURIST
Credential: L.AC
Phone: 541-482-1060