Provider Demographics
NPI:1467122135
Name:AFFINITY ACUPUNCTURE PLLC
Entity Type:Organization
Organization Name:AFFINITY ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACY
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:406-671-5244
Mailing Address - Street 1:PO BOX 80294
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59108-0294
Mailing Address - Country:US
Mailing Address - Phone:406-671-5244
Mailing Address - Fax:
Practice Address - Street 1:1001 S 24TH ST W STE 310
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6467
Practice Address - Country:US
Practice Address - Phone:406-272-0474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty