Provider Demographics
NPI:1497076186
Name:NATURAL BALANCE ACUPUNCTURE CLINIC INC
Entity Type:Organization
Organization Name:NATURAL BALANCE ACUPUNCTURE CLINIC INC
Other - Org Name:NABACU EASTERN MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AIFEI
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC MAC
Authorized Official - Phone:240-899-6060
Mailing Address - Street 1:9420 KEY WEST AVE.
Mailing Address - Street 2:SUITE 320
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-9999
Mailing Address - Country:US
Mailing Address - Phone:301-637-0186
Mailing Address - Fax:301-917-3154
Practice Address - Street 1:9420 KEY WEST AVE.
Practice Address - Street 2:SUITE 320
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-9999
Practice Address - Country:US
Practice Address - Phone:301-637-0186
Practice Address - Fax:301-917-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
MD001266171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty