Provider Demographics
NPI:1467919167
Name:PATHWAYS ACUPUNCTURE, PLLC
Entity Type:Organization
Organization Name:PATHWAYS ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEITELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-688-5900
Mailing Address - Street 1:15278 W BELL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3100
Mailing Address - Country:US
Mailing Address - Phone:623-533-6338
Mailing Address - Fax:949-543-2764
Practice Address - Street 1:15278 W BELL RD STE 110
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3100
Practice Address - Country:US
Practice Address - Phone:623-533-6338
Practice Address - Fax:877-844-7569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZNAOtherNA