Provider Demographics
NPI:1053732859
Name:ZP ACUPUNCTURE AND HERB CLINIC LLC
Entity type:Organization
Organization Name:ZP ACUPUNCTURE AND HERB CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZHENGPIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:410-718-3037
Mailing Address - Street 1:8850 COLUMBIA 100 PKWY STE 304
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2377
Mailing Address - Country:US
Mailing Address - Phone:443-474-9689
Mailing Address - Fax:410-480-9963
Practice Address - Street 1:8850 COLUMBIA 100 PKWY STE 304
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2377
Practice Address - Country:US
Practice Address - Phone:443-474-9689
Practice Address - Fax:410-480-9963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2013-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01554171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU01554OtherLAC