Provider Demographics
NPI:1093002602
Name:HILL TOP ACUPUNCTURE AND HERBAL MEDICINE LLC
Entity Type:Organization
Organization Name:HILL TOP ACUPUNCTURE AND HERBAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF INSURANCE ACCEPTANCE
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:360-754-1396
Mailing Address - Street 1:2010 CATON WAY SW
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-1119
Mailing Address - Country:US
Mailing Address - Phone:360-754-1396
Mailing Address - Fax:360-753-4288
Practice Address - Street 1:2010 CATON WAY SW
Practice Address - Street 2:SUITE 202
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1119
Practice Address - Country:US
Practice Address - Phone:360-754-1396
Practice Address - Fax:360-753-4288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-03
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60219265171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty