Provider Demographics
NPI:1124364856
Name:GOLDSTONE ACUPUNCTURE & WHOLE HEALTH, LLC
Entity Type:Organization
Organization Name:GOLDSTONE ACUPUNCTURE & WHOLE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:GOLDSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, AP, DIPLAC
Authorized Official - Phone:970-227-1906
Mailing Address - Street 1:300 BOARDWALK DR
Mailing Address - Street 2:BLDG 6A
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3070
Mailing Address - Country:US
Mailing Address - Phone:970-227-1906
Mailing Address - Fax:
Practice Address - Street 1:300 BOARDWALK DR
Practice Address - Street 2:BLDG 6A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3070
Practice Address - Country:US
Practice Address - Phone:970-227-1906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2013-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1599171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty