Healthcare Provider Details

I. General information

NPI: 1720924673
Provider Name (Legal Business Name): RED ROSE MEDICAL ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1392 HARRISBURG PIKE
LANCASTER PA
17601-2613
US

IV. Provider business mailing address

1392 HARRISBURG PIKE
LANCASTER PA
17601-2613
US

V. Phone/Fax

Practice location:
  • Phone: 717-984-6565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN YOUNGWIRTH
Title or Position: OWNER
Credential: DO
Phone: 484-269-2567