Healthcare Provider Details

I. General information

NPI: 1073070744
Provider Name (Legal Business Name): CARING ACUPUNCTURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 EISENHOWER AVE STE 402
ALEXANDRIA VA
22314-4679
US

IV. Provider business mailing address

2111 EISENHOWER AVE STE 402
ALEXANDRIA VA
22314-4679
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-9088
  • Fax: 703-717-9158
Mailing address:
  • Phone: 703-717-9088
  • Fax: 703-717-9158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TETSUHIRO UENO
Title or Position: MANAGER
Credential: L.AC.
Phone: 703-717-9088