MEDICARE: JULIET SOSEBEE L.AC., M.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	UO2359	MD

General Provider Information

NPI Number	:	1225579394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIET SOSEBEE L.AC., M.AC.

Provider Business Mailing Address
First Line	:	PO BOX 129
Second Line	:
City	:	NORTH BEACH
State	:	MD
Zip	:	20714-0129
Country	:	US
Telephone Number	:	240-304-6218
Fax Number	:

Provider Business Practice Location Address
First Line	:	9129 BAY AVE
Second Line	:
City	:	NORTH BEACH
State	:	MD
Zip	:	20714
Country	:	US
Telephone Number	:	240-304-6218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2017
Last Update Date	:	03/09/2017

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