Provider Demographics
NPI:1003172651
Name:GOOD CHI ACUPUNCTURE
Entity Type:Organization
Organization Name:GOOD CHI ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVARD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:978-443-4498
Mailing Address - Street 1:730 BOSTON POST RD
Mailing Address - Street 2:SUITE 28
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3368
Mailing Address - Country:US
Mailing Address - Phone:978-443-4498
Mailing Address - Fax:
Practice Address - Street 1:730 BOSTON POST RD
Practice Address - Street 2:SUITE 28
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3368
Practice Address - Country:US
Practice Address - Phone:978-443-4498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222896171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty