Provider Demographics
NPI:1225189459
Name:SILVER NEEDLE ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:SILVER NEEDLE ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:425-712-3119
Mailing Address - Street 1:7631 212TH ST SW
Mailing Address - Street 2:SUITE C, #111
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7565
Mailing Address - Country:US
Mailing Address - Phone:425-712-3119
Mailing Address - Fax:425-712-3119
Practice Address - Street 1:7631 212TH ST SW
Practice Address - Street 2:SUITE C, #111
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7565
Practice Address - Country:US
Practice Address - Phone:425-712-3119
Practice Address - Fax:425-712-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000369171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty