Provider Demographics
NPI:1477894830
Name:AMAZING ALTERNATIVE ACUPUNCTURE
Entity Type:Organization
Organization Name:AMAZING ALTERNATIVE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHEN YING
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, EAMP
Authorized Official - Phone:360-862-5115
Mailing Address - Street 1:2701 BICKFORD AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-1738
Mailing Address - Country:US
Mailing Address - Phone:360-862-5115
Mailing Address - Fax:
Practice Address - Street 1:2701 BICKFORD AVE
Practice Address - Street 2:SUITE F
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-1738
Practice Address - Country:US
Practice Address - Phone:360-862-5115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 00002599171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty