Provider Demographics
NPI:1457827669
Name:WHOLISTIC ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:WHOLISTIC ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-888-9303
Mailing Address - Street 1:6463 PROPRIETORS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3263
Mailing Address - Country:US
Mailing Address - Phone:614-888-9303
Mailing Address - Fax:833-254-2633
Practice Address - Street 1:6463 PROPRIETORS RD STE 101
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3263
Practice Address - Country:US
Practice Address - Phone:614-888-9303
Practice Address - Fax:833-254-2633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty