Provider Demographics
NPI:1104394683
Name:NABI MOVEMENT
Entity Type:Organization
Organization Name:NABI MOVEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-999-9935
Mailing Address - Street 1:18 HILLIARD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1257
Mailing Address - Country:US
Mailing Address - Phone:844-424-6224
Mailing Address - Fax:201-840-6224
Practice Address - Street 1:18 HILLIARD AVE STE B
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1257
Practice Address - Country:US
Practice Address - Phone:844-424-6224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty