Provider Demographics
NPI:1073154027
Name:INTEGRATIVE ACUPUNCTURE
Entity Type:Organization
Organization Name:INTEGRATIVE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:610-770-9476
Mailing Address - Street 1:1526A BLEYLER ST
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1118
Mailing Address - Country:US
Mailing Address - Phone:610-770-9476
Mailing Address - Fax:866-202-9017
Practice Address - Street 1:1526A BLEYLER ST
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1118
Practice Address - Country:US
Practice Address - Phone:610-770-9476
Practice Address - Fax:866-202-9017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty