Provider Demographics
NPI:1033588009
Name:AMY HANKS, MS, LAC
Entity Type:Organization
Organization Name:AMY HANKS, MS, LAC
Other - Org Name:MUSICIANS' ACUPUNCTURE PROJECT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:HANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-846-4643
Mailing Address - Street 1:211 GOUGH ST
Mailing Address - Street 2:204-205
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5946
Mailing Address - Country:US
Mailing Address - Phone:415-846-4643
Mailing Address - Fax:
Practice Address - Street 1:211 GOUGH ST
Practice Address - Street 2:204-205
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5946
Practice Address - Country:US
Practice Address - Phone:415-846-4643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 7291261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center