Provider Demographics
NPI:1093451049
Name:PAPER CRANE ACUPUNCTURE AND WELLNESS, LLC
Entity Type:Organization
Organization Name:PAPER CRANE ACUPUNCTURE AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:207-227-8229
Mailing Address - Street 1:76 SEAL LN
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-5513
Mailing Address - Country:US
Mailing Address - Phone:207-227-8229
Mailing Address - Fax:207-203-4467
Practice Address - Street 1:149 MAINE ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2058
Practice Address - Country:US
Practice Address - Phone:207-227-8229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty