Provider Demographics
NPI:1114496502
Name:ACUPUNCTURE BALANCED HEALTH
Entity Type:Organization
Organization Name:ACUPUNCTURE BALANCED HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YING
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:919-272-3988
Mailing Address - Street 1:112 PERKINS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1786
Mailing Address - Country:US
Mailing Address - Phone:919-642-3398
Mailing Address - Fax:919-355-4558
Practice Address - Street 1:112 PERKINS DR STE 200
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1786
Practice Address - Country:US
Practice Address - Phone:919-642-3398
Practice Address - Fax:919-355-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1811366131Medicaid
NC1235234600Medicaid