Ancient Widom Healing Arts

LBN: Ancient Widom Healing Arts
Ancient Widom Healing Arts is an health care organization with primary practice located at 658 Kenilworth Dr Suite #102, Towson MD 21204-2312. The organization recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as the primary health care specialty. Ancient Widom Healing Arts can be contacted via phone (443) 838-3141, or through Broussard, Steven Wilson via phone (443) 838-3141.

Contact Information

Primary practice address
658 Kenilworth Dr Suite #102 Towson MD 21204-2312
Phone: (443) 838-3141
Fax: (410) 377-6168
Website:
Map and Directions
Authorized official contact:
Name: Broussard, Steven Wilson L. AC., M.T.O.M.
Phone: (443) 838-3141

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X LIC # U01120 Maryland

Profile Details

NPI number 1114318094
LBN Legal business name Ancient Widom Healing Arts
DBA Doing business as
Authorized official Broussard, Steven Wilson L. AC., M.T.O.M.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2015
Last updated Feb 12th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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