Provider Demographics
NPI:1396213658
Name:WIND POINT ACUPUNCTURE LLC.
Entity Type:Organization
Organization Name:WIND POINT ACUPUNCTURE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER LLC
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SMITH-WHYBARK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LAC
Authorized Official - Phone:262-635-0525
Mailing Address - Street 1:4060 N MAIN ST STE 106
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53402-3121
Mailing Address - Country:US
Mailing Address - Phone:262-635-0525
Mailing Address - Fax:262-639-0524
Practice Address - Street 1:4060 N MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53402-3121
Practice Address - Country:US
Practice Address - Phone:262-635-0525
Practice Address - Fax:262-639-0524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty