Provider Demographics
NPI:1275702938
Name:ACUHEALTH INC
Entity Type:Organization
Organization Name:ACUHEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY HALF OWNER ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TICE
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM
Authorized Official - Phone:307-332-7888
Mailing Address - Street 1:15 SHRINE CLUB RD
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520
Mailing Address - Country:US
Mailing Address - Phone:307-332-7888
Mailing Address - Fax:307-332-2459
Practice Address - Street 1:15 SHRINE CLUB RD
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520
Practice Address - Country:US
Practice Address - Phone:307-332-7888
Practice Address - Fax:307-332-2459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
024243NCCAOM171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty