Provider Demographics
NPI:1073028809
Name:HEALTH POINT TRADITIONAL ACUPUNCTURE LTD
Entity Type:Organization
Organization Name:HEALTH POINT TRADITIONAL ACUPUNCTURE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EWA
Authorized Official - Middle Name:
Authorized Official - Last Name:PROKOPIUK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, MAC
Authorized Official - Phone:207-563-6607
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:DAMARISCOTTA
Mailing Address - State:ME
Mailing Address - Zip Code:04543-0184
Mailing Address - Country:US
Mailing Address - Phone:207-563-6607
Mailing Address - Fax:207-563-6607
Practice Address - Street 1:241 US ROUTE 1 STE 104
Practice Address - Street 2:
Practice Address - City:DAMARISCOTTA
Practice Address - State:ME
Practice Address - Zip Code:04543-4715
Practice Address - Country:US
Practice Address - Phone:207-563-6607
Practice Address - Fax:207-563-6607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC154171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty