Provider Demographics
NPI:1437506615
Name:QUAN YIN HEALING ARTS ACUPUNCTURE & CHINESE HERBAL MEDICINE, LLC
Entity Type:Organization
Organization Name:QUAN YIN HEALING ARTS ACUPUNCTURE & CHINESE HERBAL MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BORLA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:860-523-9424
Mailing Address - Street 1:45 S MAIN ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2441
Mailing Address - Country:US
Mailing Address - Phone:860-523-9424
Mailing Address - Fax:860-586-8373
Practice Address - Street 1:45 S MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2441
Practice Address - Country:US
Practice Address - Phone:860-523-9424
Practice Address - Fax:860-586-8373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty