Provider Demographics
NPI:1346963766
Name:ABR ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:ABR ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-660-0019
Mailing Address - Street 1:PO BOX 4564
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27404-4564
Mailing Address - Country:US
Mailing Address - Phone:336-235-4530
Mailing Address - Fax:336-235-0754
Practice Address - Street 1:2105 W CORNWALLIS DR STE C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7098
Practice Address - Country:US
Practice Address - Phone:336-235-4530
Practice Address - Fax:336-235-0754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty