Provider Demographics
NPI:1104584317
Name:PATAPSCO ACUPUNCTURE & INTEGRATIVE MEDICINE
Entity type:Organization
Organization Name:PATAPSCO ACUPUNCTURE & INTEGRATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:SHIOPEI
Authorized Official - Middle Name:
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:410-440-0895
Mailing Address - Street 1:9055 PHILLIP DORSEY WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5149
Mailing Address - Country:US
Mailing Address - Phone:410-440-0895
Mailing Address - Fax:
Practice Address - Street 1:1332 LONDONTOWN BLVD STE 117
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6587
Practice Address - Country:US
Practice Address - Phone:443-774-5441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-05
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center