Provider Demographics
NPI:1285814269
Name:BROOKLINE ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:BROOKLINE ACUPUNCTURE CLINIC
Other - Org Name:OKAC CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOONSUP
Authorized Official - Middle Name:
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-232-0110
Mailing Address - Street 1:214 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7622
Mailing Address - Country:US
Mailing Address - Phone:617-232-0110
Mailing Address - Fax:617-232-0114
Practice Address - Street 1:214 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7622
Practice Address - Country:US
Practice Address - Phone:617-232-0110
Practice Address - Fax:617-232-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty