Provider Demographics
NPI:1124566286
Name:NATURAL SOLUTIONS ACUPUNCTURE SERVICES
Entity Type:Organization
Organization Name:NATURAL SOLUTIONS ACUPUNCTURE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:MS LAC
Authorized Official - Phone:607-684-3423
Mailing Address - Street 1:1282 WATERLOO GENEVA RD
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:NY
Mailing Address - Zip Code:13165-1208
Mailing Address - Country:US
Mailing Address - Phone:607-684-3423
Mailing Address - Fax:315-539-4884
Practice Address - Street 1:1282 WATERLOO GENEVA RD
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:NY
Practice Address - Zip Code:13165-1208
Practice Address - Country:US
Practice Address - Phone:607-684-3423
Practice Address - Fax:315-539-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005757171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty