Provider Demographics
NPI:1073134193
Name:ACUPUNCTURE & EASTERN INTEGRATIVE MEDICINE, LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE & EASTERN INTEGRATIVE MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:HILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:512-791-2910
Mailing Address - Street 1:1414 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-1966
Mailing Address - Country:US
Mailing Address - Phone:512-791-2910
Mailing Address - Fax:561-513-5699
Practice Address - Street 1:1414 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH BEACH
Practice Address - State:FL
Practice Address - Zip Code:33460-1966
Practice Address - Country:US
Practice Address - Phone:512-791-2910
Practice Address - Fax:561-513-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty