MEDICARE: HEIDI BETH MOST 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
1	171100000X	Acupuncturist	U01133	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	619954-01	OTHER	MD	CAREFIRST NONPARTICIPATIN

General Provider Information

NPI Number	:	1801859483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI BETH MOST L. AC.

Provider Business Mailing Address
First Line	:	3121 EVERGREEN WAY
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1023
Country	:	US
Telephone Number	:	410-531-3792
Fax Number	:

Provider Business Practice Location Address
First Line	:	3121 EVERGREEN WAY
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-1023
Country	:	US
Telephone Number	:	410-531-3792
Fax Number	:

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	07/08/2007

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