Provider Demographics
NPI:1316410996
Name:EAST CAROLINA ACUPUNCTURE INC
Entity Type:Organization
Organization Name:EAST CAROLINA ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:252-209-6593
Mailing Address - Street 1:1946 TARA COURT
Mailing Address - Street 2:UNIT 103
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858
Mailing Address - Country:US
Mailing Address - Phone:252-209-6593
Mailing Address - Fax:
Practice Address - Street 1:211 COMMERCE STREET
Practice Address - Street 2:SUITE A
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858
Practice Address - Country:US
Practice Address - Phone:252-209-6593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty