Provider Demographics
NPI:1326470915
Name:ACUPUNCTURE HEALTH & HEALING INC
Entity Type:Organization
Organization Name:ACUPUNCTURE HEALTH & HEALING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SOWADA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, RN
Authorized Official - Phone:763-245-2761
Mailing Address - Street 1:8498 OAK LN
Mailing Address - Street 2:
Mailing Address - City:BECKER
Mailing Address - State:MN
Mailing Address - Zip Code:55308-8923
Mailing Address - Country:US
Mailing Address - Phone:763-245-2761
Mailing Address - Fax:
Practice Address - Street 1:307 4TH AVE NE
Practice Address - Street 2:SUITE A
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387-1295
Practice Address - Country:US
Practice Address - Phone:763-245-2761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1636261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service