Provider Demographics
NPI:1235649088
Name:FLOW POINT ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:FLOW POINT ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERBEKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-309-1316
Mailing Address - Street 1:130 MAPLE AVENUE
Mailing Address - Street 2:BUILDING 9, SUITE 9
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-889-9228
Mailing Address - Fax:
Practice Address - Street 1:130 MAPLE AVENUE
Practice Address - Street 2:BUILDING 9, SUITE 9
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701
Practice Address - Country:US
Practice Address - Phone:732-889-9228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00126800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty