Provider Demographics
NPI:1043781461
Name:LEVEL ACUPUNCTURE AND WELLNESS LLC
Entity Type:Organization
Organization Name:LEVEL ACUPUNCTURE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOM, L. AC
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:505-228-2356
Mailing Address - Street 1:6115 WOODHOLLOW PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2620
Mailing Address - Country:US
Mailing Address - Phone:505-228-2356
Mailing Address - Fax:
Practice Address - Street 1:9798 COORS BLVD NW BLDG D
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-6133
Practice Address - Country:US
Practice Address - Phone:505-814-4774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty