Healthcare Provider Details
I. General information
NPI: 1982927380
Provider Name (Legal Business Name): EAST WEST HEALTHCARE, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/12/2010
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 WHEATFIELD DRIVE SUITE B
MILFORD PA
18337
US
IV. Provider business mailing address
102 WHEATFIELD DRIVE SUITE B
MILFORD PA
18337
US
V. Phone/Fax
- Phone: 570-409-1239
- Fax: 570-409-1850
- Phone: 570-409-1239
- Fax: 570-409-1850
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EILEEN
CHALEFF-WEIN
Title or Position: OWNER/ACUPUNCTURIST
Credential: L.AC.
Phone: 570-409-1239