EASTERN ROOTS WELLNESS PL C NPI 1437620614

NPI Information

NPI: 1437620614
Provider Name: EASTERN ROOTS WELLNESS, PL C
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
1497 CHAIN BRIDGE RD STE 101
MC LEAN, VA
ZIP 22101
Phone: (571) 354-6643
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EASTERN ROOTS WELLNESS, PL C is an acupuncturist in Mc Lean, VA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. EASTERN ROOTS WELLNESS, PL C NPI is 1437620614. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1497 CHAIN BRIDGE RD STE 101
MC LEAN, VA
ZIP 22101-728
Phone: (571) 354-6643

The provider's authorized official is Sarah Dawn Faggert .
The authorized official title is Doctor Of Acupuncture and has the following contact phone number (713) 354-6643.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 11/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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