Provider Demographics
NPI:1003266636
Name:NATURAL WELLBEING ACUPUNCTURE
Entity Type:Organization
Organization Name:NATURAL WELLBEING ACUPUNCTURE
Other - Org Name:AMAZING ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAIHWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:757-276-9709
Mailing Address - Street 1:2200 EXECUTIVE DR STE E
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2582
Mailing Address - Country:US
Mailing Address - Phone:757-827-9340
Mailing Address - Fax:757-827-9280
Practice Address - Street 1:2200 EXECUTIVE DR STE E
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2582
Practice Address - Country:US
Practice Address - Phone:757-827-9340
Practice Address - Fax:757-827-9280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01441171100000X
MDU01440171100000X
VA0121000377171100000X
VA0121000404171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty