Provider Demographics
NPI:1316595861
Name:PIN IT UP ACUPUNCTURE
Entity Type:Organization
Organization Name:PIN IT UP ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:WOOD SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:LICACU, MAACU
Authorized Official - Phone:443-516-7066
Mailing Address - Street 1:1207 BUCKHORN RD
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-9026
Mailing Address - Country:US
Mailing Address - Phone:781-929-9973
Mailing Address - Fax:
Practice Address - Street 1:7541 MAIN ST FL 1
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-7455
Practice Address - Country:US
Practice Address - Phone:443-516-7066
Practice Address - Fax:833-979-0161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty