Provider Demographics
NPI:1114414901
Name:IN HARMONY ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:IN HARMONY ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGUILO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:908-477-9479
Mailing Address - Street 1:PO BOX 7373
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-7373
Mailing Address - Country:US
Mailing Address - Phone:908-477-9479
Mailing Address - Fax:
Practice Address - Street 1:990 N WASHINGTON AVE STE 2
Practice Address - Street 2:
Practice Address - City:GREEN BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08812-2635
Practice Address - Country:US
Practice Address - Phone:908-477-9479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25M200129400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty