Provider Demographics
NPI:1285025148
Name:ACN HEALTH, LLC
Entity Type:Organization
Organization Name:ACN HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MMT
Authorized Official - Middle Name:D
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:973-955-6699
Mailing Address - Street 1:58 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-2021
Mailing Address - Country:US
Mailing Address - Phone:973-955-6699
Mailing Address - Fax:
Practice Address - Street 1:120 MILLBURN AVE
Practice Address - Street 2:SUITE # M6
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1942
Practice Address - Country:US
Practice Address - Phone:973-955-6699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00102600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty