Provider Demographics
NPI:1528396686
Name:SOOTHING SHEN ACUPUNCTURE
Entity Type:Organization
Organization Name:SOOTHING SHEN ACUPUNCTURE
Other - Org Name:THERESA J. ALVILLAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALVILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:808-688-6552
Mailing Address - Street 1:1122 WILDER AVE
Mailing Address - Street 2:#108
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2778
Mailing Address - Country:US
Mailing Address - Phone:808-688-6552
Mailing Address - Fax:808-545-1191
Practice Address - Street 1:100 N BERETANIA ST
Practice Address - Street 2:#203 B
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4712
Practice Address - Country:US
Practice Address - Phone:808-521-2288
Practice Address - Fax:808-521-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI910171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty