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NPI Code Detail

MEDICARE: SUN CHO RIDDLE L.AC.

MEDICARE: SUN CHO RIDDLE L.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
1171100000XAcupuncturist13893CA
2171100000XAcupuncturist129862DE

General Provider Information

NPI Number : 1588972731
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUN CHO RIDDLE L.AC.
Provider Business Mailing Address
First Line : 36305 WINDMILL RUN
Second Line :
City : OCEAN VIEW
State : DE
Zip : 19970-3567
Country : US
Telephone Number : 302-588-6193
Fax Number :
Provider Business Practice Location Address
First Line : 30838 VINES CREEK RD UNIT 5
Second Line :
City : DAGSBORO
State : DE
Zip : 19939-4385
Country : US
Telephone Number : 302-402-3113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2010
Last Update Date : 05/22/2023

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Directions to “ SUN CHO RIDDLE L.AC.” Practice Location

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