Provider Demographics
NPI:1568607273
Name:BETTER HEALTH ACUPUNCTURE & CHINESE MEDICINE, LLC
Entity Type:Organization
Organization Name:BETTER HEALTH ACUPUNCTURE & CHINESE MEDICINE, LLC
Other - Org Name:MARY T. PULLEN - OWNER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:PULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-233-2220
Mailing Address - Street 1:8585 W. 14TH AVE.
Mailing Address - Street 2:#B-4
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215
Mailing Address - Country:US
Mailing Address - Phone:303-233-2220
Mailing Address - Fax:303-420-5912
Practice Address - Street 1:8585 W. 14TH AVE.
Practice Address - Street 2:#B-4
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215
Practice Address - Country:US
Practice Address - Phone:303-233-2220
Practice Address - Fax:303-420-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1439171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty