Holistic Family Medicine
Organization Active NPI Acupuncturist · Poolesville, MD
NPI 1124378625 · NPPES record last updated Sep 12, 2012
Key facts
- NPI
- 1124378625
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- License
- U01729 (MD)
- Legal business name
- HOLISTIC FAMILY MEDICINE
- Practice address
- 18931 Fisher Ave
Poolesville, MD 20837-2298 - Phone
- (301) 642-1759
- NPI assigned
- Sep 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Ms. Mikschal R Johanison, L.AC.
- Title
- Owner/ Acupuncturist
- Phone
- (301) 642-1759
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | U01729 | MD | Yes |
Addresses
Primary practice location
18931 Fisher Ave
Poolesville, MD 20837-2298
Mailing address
18931 Fisher Ave
Poolesville, MD 20837-2298
Phone (301) 642-1759
Other providers in Poolesville, MD
- Victoria Fayard
- Gregory Mark Glenn
- Maria Christina Hancu
- Tanya Henderson
- Patricia Kapsiak Hess
- Maureen D Ivusic
- Nicole Kayo
- Sang Kim
- Kerri Kimbrell-Silva
- Katherine Kirksey
All providers in Poolesville, MD · Acupuncturist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.