Acupuncture Fredericksburg

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000544 Issued in VA

Legal business name

ACUPUNCTURE FREDERICKSBURG

Practice address

2358 Plank Rd
Fredericksburg, VA 22401-4900

Phone

(540) 847-6985

NPI assigned

May 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Wolgram Vernon II, L.AC.NPI 1962750794

Title

Sole Proprietor

Phone

(540) 847-6985

Specialties & licenses 1

Addresses

Other names 1

• Eddie Vernon Acupuncture Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Wolgram Vernon II, L.AC.

  • Acupuncturist
  • Fredericksburg, VA
  • NPI 1962750794
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1750736146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 MILLSTREAM DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225513313",
            "telephone_number": "540-847-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014900",
            "telephone_number": "540-847-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE FREDERICKSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WOLGRAM",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "540-847-6985",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eddie Vernon Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.